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Information Collection

Individual Notice--Substitute Notice (setting up and staffing toll-free number)

IC 205904 under ICR 201302-0945-002 · OMB 0945-0001.

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Individual Notice--Substitute Notice (setting up and staffing toll-free number)
 
No New
 
Voluntary
 
45 CFR 160

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

Health Illness Prevention

 

1,190 0
   
Individuals or Households
 
   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 1,190 0 1,190 0 0 0
Annual IC Time Burden (Hours) 55,049 0 55,049 0 0 0
Annual IC Cost Burden (Dollars) 575,960 0 575,960 0 0 0

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