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Federal forms, ICRs, and supporting documents

Information Collection

Collection of Required Data Elements to Verify Eligibility

IC 218567 under ICR 202601-0704-006 · OMB 0704-0545.

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

View Information Collection (IC)

Collection of Required Data Elements to Verify Eligibility
 
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
Other-Screenshots OPM-V Screenshots_5.3.2022.pptx Yes Yes Fillable Fileable

Defense and National Security Operational Defense

Personnel Security Breach Notification and Mitigation Services Records.  81 FR 8056

50,000 0
   
Individuals or Households
 
   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 50,000 0 0 0 0 50,000
Annual IC Time Burden (Hours) 4,000 0 0 0 0 4,000
Annual IC Cost Burden (Dollars) 156,000 0 0 0 0 156,000

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.
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