Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 913 New 15000 2500 0 Form and Instruction IHS-913
Form 917 New 7500 1875 0 Form and Instruction IHS-917
Form IHS-912-1 New 15000 2500 0 Form IHS-912-1
Form IHS-912-2 New 5000 833 0 Form IHS-912-2
IHS Form 810 Modified 500000 166667 0 Form and Instruction IHS-810
Total burden requested under this ICR: 542500 174375 0  
To view an IC, click on IC Title