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Application For Grant Of An Annuity Pursuant To Section 523 (c) P.l.94-350, Approved 7/12/76

IC 124169 under ICR 197807-1405-004 · OMB 1405-0024.

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APPLICATION FOR GRANT OF AN ANNUITY PURSUANT TO SECTION 523 (C) P.L.94-350, APPROVED 7/12/76
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DSP-91 No No


    

3 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 10 0 0 -60 0 70
Annual IC Time Burden (Hours) 3 0 0 -17 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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