Form Numbers Sample Clauses

Form Numbers. Form numbers need to appear in lower left-hand corner of the cover page of the form. §I.D. of Circular Letter 63-6. The lower left-hand corner of the subsequent pages of the form should either contain the same form number as appears on the cover page or should be left blank. The subsequent pages should not contain form numbers that differ from the form number on the cover page.
Sample 1
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Form Numbers. HUD–92266. Description of the need for the information and proposed use: This information will be used to ensure that HUD multifamily housing properties are not placed in physical, financial, or managerial jeopardy during a transfer of physical assets. respondents responses response Burden hours Reporting Burden ..................................................................................... 14,445 1 1.691 24,437 Number of Annual × Hours per Federal Register / Vol. 77, No. 226 / Friday, November 23, 2012 / Notices 70179 Total estimated burden hours: 24,437. Status: Extension without change a currently approved collection. Authority: Section 3507 of the Paperwork Reduction Act of 1995, 44 U.S.C. 35, as amended. Dated: November 16, 2012. Xxxxxxx Xxxxxxx, Department Reports Management Officer, Office of the Chief Information Officer. [FR Doc. 2012–28366 Filed 11–21–12; 8:45 am] BILLING CODE 4210–67–P Requirements for notification of leadbased paint hazard in federally- owned residential properties and housing receiving Federal assistance, as codified in 24 CFR part 35. DATES: Comments Due Date: December 24, 2012.
Sample 1
Form Numbers. None. Type of Request: Regular (revision and extension of a currently approved information collection). Number of Respondents: 15,122. Average Hours per Response: 3 minutes. Burden Hours: 756.
Sample 1
Form Numbers. None. Type of Review: Extension of a currently approved collection. Respondents/Affected Public: Governmental agencies and the public may submit cave nominations pursuant to section 4 of the FCRPA (16 U.S.C. 4303) and 43 CFR 37.11. Requests for confidential information may be submitted pursuant to 16 U.S.C. 4304 and 43 CFR 37.12 by: • Federal and state governmental agencies; • Bona fide educational and research institutions; and
Sample 1
Form Numbers. (a) The provider contract shall be identified by a unique form number that appears in the lower left corner of the first page of the provider contract.
Sample 1
Form Numbers. None. Respondents/affected entities: Entities potentially affected by this action as respondents are manufacturers, distributors or importers of architectural and industrial maintenance coatings and coating components for sale or distribution in the United States, including the District of Columbia and all United States territories. Respondent’s obligation to respond: Mandatory under 40 CFR part 59, subpart D—National Volatile Organic Compound Emission Standards for Architectural Coatings. Estimated number of respondents: 500 (total).
Sample 1

Related to Form Numbers

  • Numbers 6.1 O2 will allocate the Customer numbers for each ISDN Line. These will be the next available numbers in the number range and the Customer can not request memorable numbers. Up to 5 DDI ranges can be provided for each ISDN Line.

  • CUSIP Numbers Pursuant to a recommendation promulgated by the Committee on Uniform Security Identification Procedures, the Company has caused CUSIP numbers to be printed on the Notes, and the Trustee may use CUSIP numbers in notices of redemption as a convenience to Holders. No representation is made as to the accuracy of such numbers either as printed on the Notes or as contained in any notice of redemption, and reliance may be placed only on the other identification numbers placed thereon.

  • Identifying Number The Participant’s Social Security number will serve as the identification number of his or her Custodial Account. An employer identification number is required only for a Custodial Account for which a return is filed to report unrelated business taxable income. An employer identification number is required for a common fund created for IRAs.

  • From Number 7.1.1.1.3 To Number Version: 4Q04 Resale Agreement 05/18/05

  • Contact Numbers The Parties agree to provide one another with toll-free nation- wide (50 states) contact numbers for the purpose of ordering, provisioning and maintenance of services.

  • Identification Badges Identification badges will be supplied by Advanced Behavioral Health (ABH) to all credentialed individuals who are providing services to children. Badges must be presented to the child/youth and any present adults at the time of service and must be worn for the duration of the service. Badges will be updated every two years during the re- credentialing process. Any individual or agency who fails to submit a photo ID to ABH within the designated timeframe will have their credentialing status terminated.

  • Identification When performing work on District property, Contractor shall be in appropriate work attire (or uniform, if applicable) at all times. If Contractor does not have a specific uniform, then Contractor shall provide identification tags and/or any other mechanism the District in its sole discretion determines is required to easily identify Contractor. Contractor and its employees shall (i) display on their clothes the above-mentioned identifying information and (ii) carry photo identification and present it to any District personnel upon request. If Contractor cannot produce such identification or if the identification is unacceptable to District, District may provide at its sole discretion, District-produced identification tags to Contractor, costs to be borne by Contractor.

  • Brief Description Identification of the device: mirror, camera/monitor, other device 2/ Device for indirect vision of Class I, II, III, IV, V, VI, S 2/ Δ Symbol 2m as defined in paragraph 6.1.3.1.1. of this Regulation: yes/no 2/ Annex 3

  • Telephone Numbers Customer Service and Preauthorization: In state: 000-000-0000; Out of state: 0-000-000-0000; Hearing impaired: 711 Appeals: 000-000-0000 Preauthorization and notification for Behavioral Health services: 0-000-000-0000 Customer Service: In state: 000-000-0000; Out of state: 0-000-000-0000; Hearing impaired: 711 Home Delivery (Mail Order): 0- 000-000-0000 Preauthorization: 0-000-000-0000 Customer Service: In state: 000-000-0000; Out of state: 0-000-000-0000; Hearing impaired: 711 Customer Service and Appeals: 0-000-000-0000 Website: xxx.xxxxxx.xxx xxx.xxxxxx.xxx xxx.xxxxxx.xxx xxx.xxxxxx.xxx Fax: Appeals: 000-000-0000 Preauthorization and Appeals: 0-000-000-0000 Not Applicable Appeals: 0-000-000-0000 Mailing address to file a claim: Blue Cross & Blue Shield of Rhode Island Claims Department 000 Xxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000 Prime Therapeutics, LLC. P.O. Box 21870 Lehigh Valley, PA 18002-1870 Blue Cross & Blue Shield of Rhode Island Dental Claims Administrator P.O. Box 69427 Harrisburg, PA 17106-9427 Blue Cross Vision c/o EyeMed Vision Care Attn: OON Claims P.O. Box 8504 Mason, OH 45040-7111 Mailing address to submit an appeal: Blue Cross & Blue Shield of Rhode Island Grievance and Appeals Xxxx 000 Xxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000 Prime Therapeutics, LLC. Clinical Review Dept. 0000 Xxxxxxxxx Xxxxxx Xxxxx Xxxxx, XX 00000 Blue Cross & Blue Shield of Rhode Island Dental Customer Service – Appeals P.O. Box 69420 Harrisburg, PA 17106-9420 EyeMed Vision Care Attn: Quality Assurance Dept. 0000 Xxxxxxxxx Xxxxx Xxxxx, XX 00000 BCBSRI Customer Service Department Call Center hours are: • Monday thru Friday 8:00 AM to 8:00 PM • Saturday thru Sunday 8:00 AM to 12:00 PM Your Blue Store You may also visit one of our retail walk-in service centers. Please check our website for specific locations and business hours.

  • Taxpayer Identification Numbers and Backup Withholding You agree that we may withhold taxes from any dividends or interest earned on your account as required by federal, state or local law or regulations. Your failure to furnish a correct Taxpayer Identification Number ("TIN") or meet other requirements may result in backup withholding. If your account is subject to backup withholding, we must withhold and pay to the Internal Revenue Service ("IRS") a percentage of dividends, interest, and certain other payments. If you fail to provide your TIN within a reasonable time we will close your account and return the balance to you, less any applicable service fees.

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