Application To Open An Account For Billing Purposes

APPLICATION TO OPEN AN ACCOUNT FOR BILLING PURPOSES

OMB: 3120-0132

IC ID: 154365

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APPLICATION TO OPEN AN ACCOUNT FOR BILLING PURPOSES
 
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
Form SE-132, No No
Form ICC-1032 No No


    

250 0
   
Individuals or Households
 
   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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 85 0 12 -552 0 625
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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