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
Expanded Monitoring Site Review: Beneficiary Interview Form
Modified
8293
1382
0
Form
SSA-639
Expanded Monitoring Site Review Beneficiary Review Form
Site Review Questionnaires for Volume and Fee-for-Service Payees
Modified
1999
3998
0
Form
SSA-637
Expanded Monitoring Site Review Questionnaire for Volume and Fee for Service Payees
Total burden requested under this ICR:
10292
5380
0
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The .gov means it's official.
The site is secure.
