Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Report of Accidental Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident Migrated 4408 2204 0 Form 21-4176-PARTS-B
Form 21-4176-PARTS-A
Total burden requested under this ICR: 4408 2204 0  
To view an IC, click on IC Title