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Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind

IC 28977 under ICR 201204-3037-002 · OMB 3037-0001.

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

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Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 403 Annual Certification -Qualified Nonprofit Agency Serving People Who Are Blind 403 Form 2012.docx Yes No Paper Only
Instruction 403-Instructions 2012.docx Yes No Paper Only

Community and Social Services Social Services

 

70 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 70 0 0 0 0 70
Annual IC Time Burden (Hours) 420 0 0 0 0 420
Annual IC Cost Burden (Dollars) 12,600 0 0 0 0 12,600

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