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OCS LIHEAP Satisfaction Survey 20917 A1 066-20917 A1
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 066-20917 A1 Yes Yes Fillable Printable

General Government Central Records & Statistical Mgt

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Form 066-20917 A1 09/26/2019
OMB Mapping Cover OCS LIHEAP 09/26/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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