Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
EEOICPA Special Exposure Cohort Petition Forms (42 CFR Part 8) Modified 30 2 0 Instruction
EEOICPA Special Exposure Cohort Petition Forms (42 CFR Part 8) New 40 200 0 Form 83.9 Special Exposure Cohort Petition Form B
EEOICPA Special Exposure Cohort Petition Forms (42 CFR Part 8) New 20 1 0 Instruction
EEOICPA Special Exposure Cohort Petition Forms (42 CFR Part 8) New 5 4 0 Instruction
EEOICPA Special Exposure Cohort Petition Forms (42 CFR Part 8) New 5 28 0 Instruction
Total burden requested under this ICR: 100 235 0  
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