Information Collection Request

Notification of Changes in Insured Status

ICR 200005-3064-005 · OMB 3064-0124 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
31924 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
08/31/2003 08/31/2003 07/31/2000
943 0 943
236 0 236
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 943 943 0 0 0 0
Annual Time Burden (Hours) 236 236 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No