Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certificates of Medical Examination Modified 800 809 0 Form and Instruction FSIS Form 4339-1 Certificate of Medical Examination (with Report of Medical History)
Form 4306-5 Medical Documentation for Employee's Reasonable Accommodation Request
Form 4630-8 Confidential Medical Documentation
Total burden requested under this ICR: 800 809 0  
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