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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
BLACK LUNG PROGRAM PROVIDER INFORMATION AND DETERMINATION PHYSICIAN FORMS
Migrated
1440
225
0
Form
CM-1168,
Form
CM-1169
Total burden requested under this ICR:
1440
225
0
To view an IC, click on IC Title