Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1305.4(d)(2) Removed 0 0 0
1305.4(h),(i),, and (j) Removed 0 0 0
1305.4(l) Other Record Keeping Removed 0 0 0
Eligibility Verification Form Modified 673672 16842 0 Form and Instruction 1
Total burden requested under this ICR: 673672 16842 0  
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