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Federal forms, ICRs, and supporting documents

Information Collection

Eligibility Questionnaire For Havana Act Payments

IC 259317 under ICR 202309-0690-002 · OMB 0690-0037.

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

View Information Collection (IC)

ELIGIBILITY QUESTIONNAIRE FOR HAVANA ACT PAYMENTS
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CD-350 ELIGIBILITY QUESTIONNAIRE FOR HAVANA ACT PAYMENTS FINAL CD-350 Eligibility Questionnaire for HAVANA Act Payments.pdf No   Fillable Printable
Instruction RELATIONSHIP DOCS - HAVANA Act Payments Collection.docx Yes Yes Fillable Printable
Form CD-350 ELIGIBILITY QUESTIONNAIRE FOR HAVANA ACT PAYMENTS Fax Number Added CD-350 FINAL 508 Compliant 7.13.23.pdf Yes Yes Fillable Fileable

Income Security Survivor Compensation

 

20 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 20 0 0 0 0 20
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.