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

View Information Collection (IC)

Refusal of Temporary Assistance
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RR-06 Refusal of Temporary Assistance RR-06 Refusal of Temporary Assistance (1).docx Yes Yes Fillable Printable
Form and Instruction RR-06 Refusal of Temporary Assistance - Arabic RR-06 Refusal of Temporary Assistance - STANDARD_ar 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-06 Refusal of Temporary Assistance - French RR-06 Refusal of Temporary Assistance - STANDARD_fr 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-06 Refusal of Temporary Assistance - Russian RR-06 Refusal of Temporary Assistance - STANDARD_ru 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-06 Refusal of Temporary Assistance - Simplified Chinese RR-06 Refusal of Temporary Assistance - STANDARD_zh_cn 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-06 Refusal of Temporary Assistance - Spanish RR-06 Refusal of Temporary Assistance - STANDARD_es_508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-06 Refusal of Temporary Assistance - Traditional Chinese RR-06 Refusal of Temporary Assistance - STANDARD_zh_TW 508.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

300 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.