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
Application and Statement - SSA-3192
Modified
290
145
0
Form and Instruction
SSA-3192
Application and Statement
Physician's Report - SSA-3193
Modified
580
870
0
Form and Instruction
SSA-3193
Physician's Report
Renewal Certification - SSA-3194
Modified
93
8
0
Form and Instruction
SSA-3194
Renewal Certification
Total burden requested under this ICR:
963
1023
0
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