COVID-19 Supplemental Payment Requests

COVID-19 Supplemental Payment Requests

OMB: 2502-0619

IC ID: 242755

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

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COVID-19 Supplemental Payment Requests
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
42 CFR 2

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

Community and Social Services Community and Regional Development

 

23,200 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 23,200 0 0 0 23,200 0
Annual IC Time Burden (Hours) 25,520 0 0 0 25,520 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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