PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
APPLICATION FOR SICKNESS BENEFITS AND STATEMENT OF SICKNESS
Migrated
90000
12000
0
Form
SI-1B
Form
SI-1A
Total burden requested under this ICR:
90000
12000
0
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The .gov means it's official.
The site is secure.
