Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Notice of Availability of Separate Payments for Contraceptive Services New 210245 68 52565
Notice of Revocation of Accommodation New 64379 109 16096
Self-Certification or Notiffication Modified 5 4 1
Total burden requested under this ICR: 274629 181 68662  
To view an IC, click on IC Title