Certification of Intent To Adopt a Pre-approved Plan

Certification of Intent To Adopt a Pre-approved Plan

OMB: 1545-2011

IC ID: 19766

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Certification of Intent To Adopt a Pre-approved Plan
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 8905 Yes Yes


    

145,000 0
   
Private Sector Businesses or other for-profits
 
   50 %

  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 29,000 0 29,000 0 0 0
Annual IC Time Burden (Hours) 110,490 0 110,490 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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