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
Certificates of Medical Examination
Modified
800
809
0
Form and Instruction
4339-1
Certificate of Medical Examination (with Report of Medical History)
Form
4630-7
Confidential Medical Documentation
Form
4306-5
Medical Documentation for Employees Reasonable Accommodation Request
Total burden requested under this ICR:
800
809
0
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