Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claimant's Medication - PDF/Paper Version Modified 20000 5000 0 Form HA-4632 Claimant's Medications
Claimant's Medications - ERE Internet Version Unchanged 180000 45000 0 Other-Internet Screens
Total burden requested under this ICR: 200000 50000 0  
To view an IC, click on IC Title