Information Collection

Alternative Documentation of Income Form

IC 22009 under ICR 199608-1840-001 · OMB 1840-0722.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Alternative Documentation of Income Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	75,000	0	75,000
Annual IC Time Burden (Hours)	24,750	0	24,750
Annual IC Cost Burden (Dollars)	24,000	-23,976,000	24,000,000

Documents for IC

Title	Document	Date Uploaded

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