Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Status Review Modified 9700 7275 0 Form and Instruction PC-1789 Health Status Review
Report of Dental Examination New 6000 3000 252000 Form and Instruction PC-1790 Report of Dental Examination
Report of Medical Examination New 6000 3000 312000 Form and Instruction PC-1790S Report of Medical Exam Form
Total burden requested under this ICR: 21700 13275 564000  
To view an IC, click on IC Title