View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Consumer Response Intake Form (Paper/Telephone)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Phone Script Yes No Printable Only
Form TDF 104.3 Yes No Printable Only
Other-Telephone Intake with Payday Lending No   Paper Only

Economic Development Industry Sector Income Stabilization

 

750,000 0
   
Individuals or Households
 
   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 750,000 0 0 0 0 750,000
Annual IC Time Burden (Hours) 125,000 0 0 0 0 125,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Prior version of the Intake Form 06/13/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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