Information Collection

Title 38, Parts 51 and 52, State Home Program

IC 28394 under ICR 200307-2900-003 · OMB 2900-0160.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0160 can be found here:

Documents and Forms

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Document Name	Document Type

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IC Title:

Title 38, Parts 51 and 52, State Home Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	10-5588	No	No
Form	10-0143	No	No
Form	10-0143A	No	No
Form	10-0144A	No	No
Form	10-0144	No	No
Form	10-10SH	No	No
Form	10-3567	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43,157

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	45,521	-10,472	55,993
Annual IC Time Burden (Hours)	15,127	882	14,245
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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