Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certifying Adherence to Cost Containment Policies and Procedures Modified 80 80 0 Other-Written Certification
Other-Portal Screens
Preparing Causality Statements Modified 200 333 0 Other-Causality Statements
Other-Portal Screens
Vocaional Rehabilitation Provider Claim - Claiming Reimbursement SSA-199 Modified 12800 4907 0 Form SSA-199 Vocational Rehabilitation Provider Claim
Other-Revised Privacy Act Statement
Other-Portal Screens
Total burden requested under this ICR: 13080 5320 0  
To view an IC, click on IC Title