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Information Collection

CIS OMBudsman Case Problem Submission Form

IC 44790 under ICR 200608-1615-001 · OMB 1615-0103.

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Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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CIS Ombudsman Case Problem Submission Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS-7001 CIS Ombudsman Case Problem Submission Worksheet DHS-7001 8-31-06.pdf Yes No Fillable Printable


 

2,600 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 2,600 0 2,600 0 0 0
Annual IC Time Burden (Hours) 2,600 0 2,600 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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