Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Camp Lejeune Family Member Program Application Modified 1629 815 0 Form and Instruction 10-10068 Camp Lejeune Family Member Program Application
Camp Lejeune Family Member Program Claim Form Modified 17919 4480 0 Form and Instruction 10-10068a Camp Lejeune Family Member Program Claim Form
Camp Lejeune Family Member Program Information Update Form Modified 543 136 0 Form and Instruction 10-10068c Camp Lejeune Family Member Program Information Update Form
Camp Lejeune Family Member Program Treating Physician Report Modified 1629 407 0 Form and Instruction 10-10068b Camp Lejeune Family Member Program Treating Physician Report
Total burden requested under this ICR: 21720 5838 0  
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