Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Data Entry Form Modified 4698 846 0 Form and Instruction 1
Record Review Worksheet Modified 4698 72497 0 Form and Instruction 1
State Improper Payments Report Modified 17 10863 0 Form and Instruction 1
Total burden requested under this ICR: 9413 84206 0  
To view an IC, click on IC Title