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Federal forms, ICRs, and supporting documents

Information Collection

Symptoms Report

IC 9591 under ICR 199903-0960-005 · OMB 0960-0604.

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Symptoms Report
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-3370 No No


    

7,500 0
   
Individuals or Households
 
   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 7,500 0 7,500 0 0 0
Annual IC Time Burden (Hours) 3,125 0 3,125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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