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Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Request for an Extension New 1454 364 0 Form and Instruction DHS Form 9036 REQUEST FOR AN EXTENSION
Request for Technical Consultation New 1454 364 0 Form and Instruction DHS Form 9034 Request for Technical Consultation
Request for Redetermination New 1042 261 0 Form and Instruction DHS Form 9037 Request for Redetermination
Notification of New Top-Screen New 6250 1563 0 Form and Instruction DHS Form 9035 NOTIFICATION OF NEW TOP-SCREEN
Total burden requested under this ICR: 10200 2552 0  
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