Tribal Council Coverage Agreement

Tribal Council Coverage Agreement

OMB: 0960-0812

IC ID: 235112

Documents and Forms
Document Name
Document Type
Other-Indian Tribal Council Coverage
Other-Indian Tribal Council Coverage
Information Collection (IC) Details

View Information Collection (IC)

Tribal Council Coverage Agreement
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Indian Tribal Council Coverage Agreement SSA-177.pdf No   Printable Only
Other-Indian Tribal Council Coverage Agreement SSA-177-OP1.pdf No   Printable Only

Income Security General Retirement and Disability

 

12 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 12 0 0 -88 0 100
Annual IC Time Burden (Hours) 2 0 0 -15 0 17
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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