Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
IDCM Intake Assessment Modified 3500 2333 0 Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Form and Instruction 1
Total burden requested under this ICR: 3500 2333 0  
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