Sd 816/816c

Application for Department of Defense Impact Aid for Children with Severe Disabilities

OMB: 0704-0425

IC ID: 5521

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Document Name
Document Type
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Information Collection (IC) Details

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SD 816/816C
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SD 816 Application for Department of Defense Impact Aid for Children with Severe Disabilities SD816 - DoD Impact Aid Application.pdf Yes Yes Fillable Fileable Signable
Form SD 816c Application for Department of Defense Impact Aid for Children with Severe Disabilities (continuation page) SD816c - Continuation Sheet.pdf Yes Yes Fillable Fileable Signable

Defense and National Security Operational Defense

 

150 0
   
State, Local, and Tribal Governments
 
   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 150 0 100 0 0 50
Annual IC Time Burden (Hours) 401 0 1 0 0 400
Annual IC Cost Burden (Dollars) 14,650 0 0 0 0 14,650

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