Information Collection Request

Approved State Ability to Benefit Process

ICR 202310-1845-002 · OMB 1845-0176 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1845-0176 Supporting Statement State ATB Process Final Rule 2023 (1).docx Supporting Statement A Uploaded 2023-10-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260238 Approved State Ability to Benefit Process Other-Regulations Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2026 36 Months From Approved
30 0 0
3,200 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Approved State Ability to Benefit Process

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 0 0 30 0 0
Annual Time Burden (Hours) 3,200 0 0 3,200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No