Information Collection Request

Notification of Changes in Insured Status

ICR 199705-3064-001 · OMB 3064-0124 · Historical Active

Forms and Documents

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Information collection document groups
IC IDCollectionTypeStatusForm
31923 Notification of Changes in Insured Status Migrated

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2000 07/31/2000
943 0 0
236 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Notification of Changes in Insured Status

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 943 0 0 943 0 0
Annual Time Burden (Hours) 236 0 0 236 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No