Information Collection

g) 20 CFR 411.325 (f)- Certification of Services

IC 251496 under ICR 202403-0960-004 · OMB 0960-0644.

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IC Title:

g) 20 CFR 411.325 (f)- Certification of Services

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 411.325(f)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,438

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,438	2,438
Annual IC Time Burden (Hours)	813	813
Annual IC Cost Burden (Dollars)	0	0

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