Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Electrical Power Service Application, 25 CFR 175 Modified 1300 650 0 Form and Instruction N/A Electric Service Application
Letter from medical services provider, 25 CFR 175 New 15 15 0
Total burden requested under this ICR: 1315 665 0  
To view an IC, click on IC Title