Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certifying Adherence to Cost Containment Policies and Procedures Modified 77 77 0 Other-Written Certification
Other-Portal Screens
Preparing Causality Statements Modified 193 322 0 Other-Causality Statements
Other-Portal Screens
Vocaional Rehabilitation Provider Claim - Claiming Reimbursement SSA-199 Modified 23331 8944 0 Form SSA-199 Vocational Rehabilitation Provider Claim
Other-Revised PA & PRA Statements
Other-Portal Screens
Total burden requested under this ICR: 23601 9343 0  
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