Enrollment Certification

Enrollment Certification

OMB: 2900-0073

IC ID: 28216

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

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Enrollment Certification
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 22-1999-2 Yes Yes
Form 22-1999-1 Yes Yes
Form 22-1999-3 Yes Yes
Form 22-1999 Yes Yes


    

7,481 0
   
Private Sector Businesses or other for-profits
 
   23 %

  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 662,068 0 0 -111,172 0 773,240
Annual IC Time Burden (Hours) 110,344 0 0 -18,529 0 128,873
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.

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