Information Collection Request

Application for Ability to Benefit Testing Approval

ICR 200107-1845-004 · OMB 1845-0049 · 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
22289 Application for Ability to Benefit Testing Approval Form Migrated

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2002 10/31/2002 08/31/2001
150,090 0 150,090
77,040 0 77,040
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for Ability to Benefit Testing Approval CFDA#84.032, 84.063, 84.268

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 150,090 150,090 0 0 0 0
Annual Time Burden (Hours) 77,040 77,040 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No