PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Certifying Adherence to Cost Containment Policies and Procedures
Modified
80
80
0
Other-Written Certification
Preparing Causality Statements
Modified
200
333
0
Other-Causality Statements
Vocaional Rehabilitation Provider Claim - Claiming Reimbursement SSA-199
Modified
12800
4907
0
Form
SSA-199
Vocational Rehabilitation Provider Claim
Total burden requested under this ICR:
13080
5320
0
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