Form 44 Other Eligible Entity Attestation

Other Eligible Entity Attestation Form and Instruction

Non-visible Questions
Label
Why
not?

PDF Name
(step)
Other Eligible
Entity
Attestation (1)

Location

Response
Input Item

Below the Yes Text Entry
and No radio
buttons

Visibility Trigger

Other

The field is displayed
if the user selects the
No radio button

State Changes
Label

PDF Name

Item Type

Trigger

OMB Number: 09150126 Expiration Date:
mm/dd/yyyy

Other Eligible
Entity
Attestation

Modal

When the user selects the link the modal
is displayed with the public burden
statement content.