Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Authorization to Disclose Information to the Railroad Retirement Board Modified 6000 1000 0 Form and Instruction G-197
Medical Reports Modified 30250 9159 0 Form and Instruction G-3EMP
Form and Instruction G-250
Form and Instruction G-250A
Form and Instruction G-260
Form and Instruction RL-11B
Form and Instruction RL-250
Form and Instruction RL-11D1
Medical Reports Modified 250 42 0 Form and Instruction RL-11D
Total burden requested under this ICR: 36500 10201 0  
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