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Federal forms, ICRs, and supporting documents

Information Collection

Lead Letter

IC 239224 under ICR 202106-0910-009 · OMB 0910-0887.

Documents and Forms
Document Name
Document Type
Other-Lead Letter
Other-Lead Letter
Information Collection (IC) Details

View Information Collection (IC)

Lead Letter CTP
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Lead Letter Appendix F - Lead Letter.doc Yes No Printable Only

Health Health Care Services

 

350 0
   
Federal Government
 
   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 350 0 0 0 0 350
Annual IC Time Burden (Hours) 9 0 0 0 0 9
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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