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Information Collection

Data Collection for Administering the Survey for the Evaluation of the Demonstration to Maintain Independence and Employment (DMIE)

IC 8724 under ICR 200303-0938-009 · OMB 0938-0893.

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Information Collection (IC) Details

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Data Collection for Administering the Survey for the Evaluation of the Demonstration to Maintain Independence and Employment (DMIE)
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10081 No No


    

928 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 928 0 928 0 0 0
Annual IC Time Burden (Hours) 253 0 253 0 0 0
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.