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Federal forms, ICRs, and supporting documents

Information Collection

CFI 180 HHS OCS Assets for Independence, CFI 181 State BCA Passport Services

IC 186907 under ICR 200707-1505-001 · OMB 1505-0191.

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CFI 180 HHS OCS Assets for Independence, CFI 181 State BCA Passport Services CFI 180, CFI 181
 
New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CFI 180 HHS OCS Assets for Independence questionnaire CFI 180 HHS OCS Assets for Independence.doc Yes Yes Fillable Fileable
Form CFI 181 State BCA Passport Services questionnaire CFI 181 State BCA Passport Services.doc No   Paper Only

General Government Central Records & Statistical Mgt

 

520 0
   
Individuals or Households
 
   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 520 0 0 0 0 0
Annual IC Time Burden (Hours) 104 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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