Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement of Claimant or Other Person Modified 25 6 0 Form G-93 (11-12) Statement of Claimant or Other Person
Statement of Claimant or Other Person Modified 175 44 0 Form G-93 (11-12) Statement of Claimant or Other Person
Total burden requested under this ICR: 200 50 0  
To view an IC, click on IC Title