Notice of Issuance of Insurance Policy

Notice of Issuance of Insurance Policy

OMB: 1240-0048

IC ID: 13700

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Notice of Issuance of Insurance Policy
 
No Modified
 
Mandatory
 
20 CFR 726.208 -.213 20 CFR 726.206

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

Income Security Survivor Compensation

 

3,500 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 3,500 0 0 0 0 3,500
Annual IC Time Burden (Hours) 58 0 0 50 0 8
Annual IC Cost Burden (Dollars) 0 0 0 -27 0 27

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