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
Medical History and Examination
Modified
2039
2039
0
Form and Instruction
DS-1622
Medical History and Examination for Children Age 11 and Younger
Form and Instruction
DS-1843
Medical History and Examination for Individuals Age 12 and Older
Total burden requested under this ICR:
2039
2039
0
To view an IC, click on IC Title
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