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 Workers' Compensation/Public Disability Benefit Information, 20 CFR 404.408(e)
Modified
120000
30000
0
Form
SSA-1709
Request for Worker's Compensation/Public Disability Benefit Information
Total burden requested under this ICR:
120000
30000
0
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