Medical Parking Application, 42 CFR 101.20-104.2

Medical Parking Application, 42 CFR 101.20-104.2

OMB: 0960-0624

IC ID: 9641

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Medical Parking Application, 42 CFR 101.20-104.2
 
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 SSA-3192 No No


    

144 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 144 0 0 0 0 144
Annual IC Time Burden (Hours) 144 0 0 0 0 144
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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