Division Of State Programs: Application Cover Sheet

DIVISION OF STATE PROGRAMS: APPLICATION COVER SHEET

OMB: 3136-0084

IC ID: 155183

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DIVISION OF STATE PROGRAMS: APPLICATION COVER SHEET
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

53 0
   
Private Sector Businesses or other for-profits
 
   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 5,300 0 0 0 0 5,300
Annual IC Time Burden (Hours) 5,300 0 0 0 0 5,300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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