Calculation and Disclosure of Documentation of Eligibility for Exemption

Calculation and Disclosure of Documentation of Eligibility for Exemption

OMB: 1210-0106

IC ID: 13460

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Calculation and Disclosure of Documentation of Eligibility for Exemption
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 2590.712

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

Income Security General Retirement and Disability

 

10 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 110 0 0 100 0 10
Annual IC Cost Burden (Dollars) 216 0 0 216 0 0

Title Document Date Uploaded
Note to Reviewer MHPANOTE TO REVIEWER.doc 11/29/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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