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Worksheet For Integrated Afdc, Adult, Food Stamps, And Medicaid Eligibility Quality Control Reviews

IC 115935 under ICR 199401-0970-004 · OMB 0970-0072.

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WORKSHEET FOR INTEGRATED AFDC, ADULT, FOOD STAMPS, AND MEDICAID ELIGIBILITY QUALITY CONTROL REVIEWS
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ACF 4340 No No


    

59,500 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 59,500 0 0 -3,500 0 63,000
Annual IC Time Burden (Hours) 655,904 0 0 -38,583 0 694,487
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.