Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claimant's Medication - PDF/Paper Version Modified 53200 39900 0 Form HA-4632 Claimant's Medications
Claimant's Medications - ERE Internet Version Modified 136800 34200 0 Other-Internet Screens
Form HA-4632 Claimant's Medications
Total burden requested under this ICR: 190000 74100 0  
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