Eligibility Verification Reports

Eligibility Verification Reports

OMB: 2900-0101

IC ID: 28277

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

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Eligibility Verification Reports
 
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 21-0511V-1 No No
Form 21-0512S No No
Form 21-0512V No No
Form 21-0512S-1 No No
Form 21-0512V-1 No No
Form 21-0510 No No
Form 21-0511S No No
Form 21-0513 No No
Form 21-0511V No No
Form 21-0511S-1 No No


    

293,894 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 293,894 0 0 0 0 293,894
Annual IC Time Burden (Hours) 146,947 0 0 0 0 146,947
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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