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Information Collection

Request For Confidential Verification Of Birth

IC 147272 under ICR 199111-2900-002 · OMB 2900-0142.

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REQUEST FOR CONFIDENTIAL VERIFICATION OF BIRTH
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-4504 No No


    

1,575 0
   
State, Local, and Tribal Governments
 
   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 1,575 0 0 0 0 1,575
Annual IC Time Burden (Hours) 788 0 0 0 0 788
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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