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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Complaint Forms for Discrimination; Health Information Privacy Complaints
Modified
3493
2620
0
Other-forms
Health Information Privacy Complaint Form
Modified
10286
7715
0
Other-form
Total burden requested under this ICR:
13779
10335
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
