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Parent's Dependency Questionnaire And Instructions For Completing Parent's Dependency Questionnaire

IC 174645 under ICR 198205-2900-003 · OMB 2900-0311.

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PARENT'S DEPENDENCY QUESTIONNAIRE AND INSTRUCTIONS FOR COMPLETING PARENT'S DEPENDENCY QUESTIONNAIRE
 
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 21-4139 & No No
Form 21-4139A No No


    

1 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 61,000 0 0 0 0 61,000
Annual IC Time Burden (Hours) 20,333 0 0 0 0 20,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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