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Federal forms, ICRs, and supporting documents

Information Collection

Individual Participant Record

IC 272954 under ICR 202605-0906-001 · OMB 0906-0108.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Individual Participant Record
 
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 and Instruction 1 IND-PAR_Updated 05122026 IND-PAR_Updated 05122026.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

59,576 0
   
Individuals or Households
 
   80 %

  Requested 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 59,576 0 0 0 0 59,576
Annual IC Time Burden (Hours) 16,086 0 0 0 0 16,086
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IND-PAR Tracked Changes IND-PAR_30 day_tracked_FINAL.docx 01/10/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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