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
REQUEST FOR CERTIFICATION AS A RURAL HEALTH CLINIC, RURAL HEALTH CLINIC SURVEY REPORT FORM
Migrated
148
259
0
Form
HCFA-30
Form
HCFA-29
Total burden requested under this ICR:
148
259
0
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