Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claimant's Recent Medical Treatment Modified 51000 71400 0 Form HA-4631 Claimant's Recent Medical Treatment
Other-Revised Privacy Act Statement
Other-Paper Reduction Act Statement revised
Electronic Records Express Submission New 249000 124500 0 Form HA-4631 Claimant's Recent Medical Treatment
Total burden requested under this ICR: 300000 195900 0  
To view an IC, click on IC Title