View Information Collection (IC)

View Information Collection (IC)

4 - B3-specific eligibility data (Applicant)
No Unchanged

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Eligibility Data 4 - B3-specific eligibility data.docx Yes Yes Fillable Fileable

Community and Social Services Social Services


2,133 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 2,133 0 0 0 0 2,133
Annual IC Time Burden (Hours) 36 0 0 0 0 36
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.