Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Civil Rights/Conscience Religious Freedom Discrimination Complaint New 8433 6325 0 Other-form
Complaint Forms for Discrimination; Health Information Privacy Complaints Removed 0 0 0 Other-form
Other-form
Health Information Privacy Complaint Form Modified 25299 18974 0 Other-Form
Other-form
Total burden requested under this ICR: 33732 25299 0  
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