Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Compliance Assistance Modified 683 55 0 Form and Instruction DHS Form 9034
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Declaration of Reporting Status New 480 120 0 Form and Instruction N/a
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Notification of New Top-Screen Modified 1875 150 0 Form and Instruction DHS Form 9035
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Request for Redetermination Modified 625 156 0 Form and Instruction DHS Form 9037
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Request for an Extension Modified 730 58 0 Form and Instruction DHS Form 9036
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Total burden requested under this ICR: 4393 539 0  
To view an IC, click on IC Title