Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Eligibility Questionnaire For HAVANA Act Payments New 30 15 0 Form and Instruction DS-4316 Eligibility Questionnaire for HAVANA Act Payments
Eligibility Questionnaire For HAVANA Act Payments Unchanged 100 50 0 Form and Instruction DS-4316 Eligibility Questionnaire for Havana Act Payments
Form DS-4316 Eligibility Questionnaire for HAVANA Act payments
Total burden requested under this ICR: 130 65 0  
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