Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
REPRESENTATIVES PAYEE REPORT, REPRESENTATIVES PAYEE REPORT (PART 2), PHYSICIAN'S/MEDICAL OFFICER'S STATEMENT Migrated 2750 2250 0 Form CM-623
Form CM-787
Form CM-623S
Total burden requested under this ICR: 2750 2250 0  
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