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Information Collection

Demonstration Project Annual Affirmations Worksheet

IC 46661 under ICR 200909-0960-006 · OMB 0960-0699.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Affirmation Collection Web Scr
Form and Instruction
Information Collection (IC) Details

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Demonstration Project Annual Affirmations Worksheet
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1745-404.1799 20 CFR 416.1545-416.1599

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Annual Affirmations Worksheet Direct Payment Demonstration Project Annual Affirmations Worksheet FINAL 01-09-07.doc Yes No Fillable Printable
Other-Affirmation Collection Web Screens Annual Reaffirmations Page - Online version 01-09-07.doc Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

450 0
   
Private Sector Businesses or other for-profits
 
   70 %

  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 0 0 -450 0 0 450
Annual IC Time Burden (Hours) 0 0 -75 0 0 75
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.