Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application Waiver/ Supplemental- Clinical Care Modified 50 500 5000 Form 426
Form 426
ApplicationsWaiver/ Supplemental A- Research Modified 200 2000 20000 Form 426
Form 426
Total burden requested under this ICR: 250 2500 25000  
To view an IC, click on IC Title