Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HA-4633 - Electronic Records Express Submissions New 157700 78850 0 Form and Instruction HA-4633 Claimant’s Work Background
Other-Revised PA and PRA Statements
HA-4633 - Paper Version Modified 32300 16150 0 Form HA-4633 Claimant's Work Background
Other-Revised PA and PRA Statements
Total burden requested under this ICR: 190000 95000 0  
To view an IC, click on IC Title