Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medical Report on Adult with Allegation of Human Immune Deficiency Virus Infection and Medical Report on Child with Allegation of Human Immune Deficiency Virus Infection Migrated 59100 9850 0 Form SSA-4815-F6
Form SSA-4814-F5
Total burden requested under this ICR: 59100 9850 0  
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