Information Collection

Alternative Documentation of Income Form

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded

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

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