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

View Information Collection (IC)

OS Participants
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Yes Yes Paper Only
Form 2 Yes Yes Paper Only
Form 3 Yes Yes Paper Only
Form 4 Yes Yes Paper Only
Form 4 Yes Yes Paper Only
Form 6 Yes Yes Paper Only
Form 7 Yes Yes Paper Only
Form 8 Yes Yes Paper Only

Health Health Care Services

 

42,500 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 47,600 0 0 -21,953 0 69,553
Annual IC Time Burden (Hours) 19,801 0 0 -3,708 0 23,509
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSB_Attachment 2_OS Adjudicator Forms List 03/31/2010
SSA_Attachment 1_OS Data Collection Instrument List 03/31/2010
SSB_Attachment 3_Sample participant newsletter 03/31/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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