Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Family Member Medical Summary: Family Members Modified 55828 4652 121705 Form and Instruction DD 2792
Family Member Medical Summary: Medical Providers New 11166 4653 468972 Form and Instruction DD 2792
Special Education/Early Intervention Summary: Family Members New 16906 1409 36855 Form and Instruction DD 2792-1
Special Education/Early Intervention Summary: Special Education Teachers New 14708 4903 135167 Form and Instruction DD 2792-1
Total burden requested under this ICR: 98608 15617 762699  
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