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Agenda
Reg Review
ICR
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 (21P-4176)
Modified
4408
2204
0
Form
21P-4176
Report of Accidental Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident
Total burden requested under this ICR:
4408
2204
0
To view an IC, click on IC Title
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