Information Collection Request

Approved State Ability to Benefit Process

ICR 202607-1845-007 · OMB 1845-0176 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
60 Day Comment Responses.docx Supplementary Document Uploaded 2026-10-20 Available
Supporting Statement_30D_1845-0176.docx Supporting Statement A Uploaded 2026-10-20 Available

IC Document Collections

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

ICR Details

Reginfo record details
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  Requested Previously Approved
36 Months From Approved 10/31/2026
10 30
3,200 3,200
0 0





Reginfo record details
1
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IC Title Form No. Form Name
Approved State Ability to Benefit Process

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  Total Request 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 10 30 0 -20 0 0
Annual Time Burden (Hours) 3,200 3,200 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No