Disabled Dependent Questionnaire
RI 30-10, OMB Control Number 3206-0179
Justification for No material/Non Substantive Change
Minor
editorial changes have been made to this information collection
request (ICR) to include:
(1)
updating the address and zip code and (2)
adding a field to collect the email address of the applicant (Page
1 – Part A, item 7 and Page 2 – Part B).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Coates, Geraldine E |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |