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Federal forms, ICRs, and supporting documents

Information Collection

Application for the Senior Community Service Employment Program

IC 3211 under ICR 200312-0596-003 · OMB 0596-0099.

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Information Collection (IC) Details

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Application for the Senior Community Service Employment Program
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FS-1800-21B Yes Yes


    

6,500 0
   
Individuals or Households
 
   20 %

  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 6,500 0 0 0 0 6,500
Annual IC Time Burden (Hours) 1,083 0 0 0 0 1,083
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.