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Federal forms, ICRs, and supporting documents

Information Collection

Disability Funds Financial Assistance Application

IC 229087 under ICR 201808-1559-002 · OMB 1559-0048.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Disability Funds Financial Assistance Application
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2018-02 Disability Funds Financial Assistance Application v2 Disability Funds Financial Assistance Application Questions - 2.7.18 Revision.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

30 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 30 0 0 0 0 30
Annual IC Time Burden (Hours) 360 0 0 0 0 360
Annual IC Cost Burden (Dollars) 21,074 0 0 0 0 21,074

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.