Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Notification of New Top-Screen Modified 185 46 0 Form and Instruction DHS Form 9035
Request for Redetermination Modified 278 70 0 Form and Instruction DHS Form 9037
Request for Technical Consultation Modified 625 156 0 Form and Instruction DHS Form 9034
Request for an Extension Modified 1875 469 0 Form and Instruction DHS Form 9036
Total burden requested under this ICR: 2963 741 0  
To view an IC, click on IC Title