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 Source Opinion of Patient's Capability to Manage Benefits
Modified
767737
255912
0
Form
SSA-787
Medical Source Opinion of Patient’s Capability to Manage Benefits
Other-Revised PA Statement
Total burden requested under this ICR:
767737
255912
0
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