Income Verification

Income Verification

OMB: 2900-0518

IC ID: 28700

Documents and Forms
Information Collection (IC) Details

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Income Verification 2900-0518
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0161A Income Verification 21-0161a.pdf No   Printable Only

Income Security Survivor Compensation

 

30,000 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 30,000 0 0 0 30,000 0
Annual IC Time Burden (Hours) 15,000 0 0 0 15,000 0
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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