Notice of Issuance of Insurance Policy

Notice of Issuance of Insurance Policy

OMB: 1215-0059

IC ID: 13700

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Information Collection (IC) Details

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Notice of Issuance of Insurance Policy
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CM-921 No No


    

60 0
   
Private Sector Businesses or other for-profits
 
   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 4,000 0 0 0 0 4,000
Annual IC Time Burden (Hours) 667 0 0 0 0 667
Annual IC Cost Burden (Dollars) 2,000 0 0 0 0 2,000

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