Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Payment of Cost of Unauthorized Medical Services; Funeral Arrangements; Authority and Invoice for Travel by Ambulance or Other Hired Vehicle; Authorization and Invoice... Modified 464155 33079 0 Form 10-583
Form 10-2065
Form 10-2511
Form 10-7078
Total burden requested under this ICR: 464155 33079 0  
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