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National Medical Support Notice-Part A (State Respondents)

IC 10060 under ICR 202401-0970-001 · OMB 0970-0222.

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Information Collection (IC) Details

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National Medical Support Notice-Part A (State Respondents)
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Part A - Revised 2023 National Medical Support Notice Part A 2023 02 23 NMSN Part A Clean.docx Yes Yes Fillable Printable
Instruction 2023 02 23 NMSN_Part_A_Sample_Form Clean.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

54 0
   
State, Local, and Tribal Governments
 
   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 4,870,476 0 0 0 0 4,870,476
Annual IC Time Burden (Hours) 827,981 0 0 0 0 827,981
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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