Representative Fee Request

Representative Fee Request

OMB: 1215-0078

IC ID: 13742

Documents and Forms
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Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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Representative Fee Request
 
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 CA-143 No No
Form CA-1066 No No


    

13,720 0
   
Private Sector Businesses or other for-profits
 
   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 13,720 0 -280 0 0 14,000
Annual IC Time Burden (Hours) 9,860 0 -140 0 0 10,000
Annual IC Cost Burden (Dollars) 17,000 0 0 0 0 17,000

Title Document Date Uploaded
 
 
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