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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Complaint Forms for Discrimination; Health Information Privacy Complaints
Modified
3037
2278
0
Other-Complaint forms
Health Information Privacy Complaint Form
New
8944
6708
0
Other-form
Total burden requested under this ICR:
11981
8986
0
To view an IC, click on IC Title