OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Request of Extension of Time Periods for Extenuating Circumstances

IC 252197 under ICR 202606-1545-001CF · OMB 1210-0169.

Documents and Forms
Document Name
Document Type
Other-Request of Extension of Time P
Other-Request for Extension Notice
Information Collection (IC) Details

View RCF Information Collection (IC)

Request of Extension of Time Periods for Extenuating Circumstances
 
Modified
 
Mandatory
 
29 CFR 2590

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Request of Extension of Time Periods for Extenuating Circumstances 13. Appendix-13 Request for Extension Notice.docx Yes Yes Fillable Printable
Other-Request for Extension Notice CMS-10791 - Appendix 13 Request for Extension Notice.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

13 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 13 0 0 0 0 13
Annual IC Time Burden (Hours) 3 0 0 0 0 3
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.
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