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
Expanded Monitoring Site Review: Beneficiary Interview Form
New
7741
1290
0
Form
SSA-639 (revised)
Expanded Monitoring Site Review Beneficiary Review Form
Site Review Questionnaires for Volume and Fee-for-Service Payees
Modified
1747
3494
0
Form
SSA-637--revised
Expanded Monitoring Site Review Questionnaire for Volume and Fee for Service Payees
Total burden requested under this ICR:
9488
4784
0
To view an IC, click on IC Title