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Federal forms, ICRs, and supporting documents

Information Collection

National Medical Support Notice - Part B

IC 13476 under ICR 202102-1210-001 · OMB 1210-0113.

Documents and Forms
Document Name
Document Type
Other-National Medical Support Notic
Other-National Medical Support Notic
Other-National Medical Support Notic
Other-National Medical Support Notic
Other-Addendum
Other-Addendum
Information Collection (IC) Details

View Information Collection (IC)

National Medical Support Notice - Part B
 
No Unchanged
 
Mandatory
 
29 CFR 2590.609-2

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-National Medical Support Notice 1210_0113 National Medical Support Notice Part B 12-4-2019.docx Yes No Fillable Fileable
Other-National Medical Support Notice PartB_Reference_To_Addendum.docx Yes Yes Fillable Fileable
Other-Addendum e-NMSN__Addendum 5 18 20.docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

425,444 0
   
Private Sector Businesses or other for-profits
 
   48 %

  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 10,546,371 0 0 0 0 10,546,371
Annual IC Time Burden (Hours) 878,864 0 0 0 0 878,864
Annual IC Cost Burden (Dollars) 3,322,107 0 0 0 0 3,322,107

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.