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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Claim, Authorization & Invoice for Prosthetic Items & Services
Modified
71200
5738
0
Form
10-0103
VETERANS APPLICATION FOR ASSISTANCE In Acquiring Home Improvement and Structural Alterations
Form
10-1394
APPLICATION FOR ADAPTIVE EQUIPMENT MOTOR VEHICLE
Form and Instruction
10-2421
PROSTHETIC AUTHORIZATION FOR ITEMS OR SERVICES
Form
10-2520
PROSTHETIC SERVICE CARD INVOICE
Form
10-2914
PRESCRIPTION AND AUTHORIZATION FOR EYEGLASSES
Form
Form Letter 10-90
REQUEST TO SUBMIT ESTIMATE
Total burden requested under this ICR:
71200
5738
0
To view an IC, click on IC Title