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
Claimant's Recent Medical Treatment
Modified
200000
33333
0
Form
HA-4631
Claimant's Recent Medical Treatment
Other-Revised Privacy Act Statement
Total burden requested under this ICR:
200000
33333
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
