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Regional Application (NY Debt Management-NYDM)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-DMS Screens Yes Yes Fillable Fileable Signable
Form SSA-632-BK No   Fillable Printable
Other-Revised PA and PRA Statements No   Fillable Printable
Form SSA-634 No   Fillable Printable
Other-Revised PA and PRA Statements No   Fillable Printable

Income Security General Retirement and Disability

 

30,000 0
   
Individuals or Households
 
   100 %

  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 0 30,000
Annual IC Time Burden (Hours) 60,000 0 0 0 0 60,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-632-BK - Current 04/24/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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