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 Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection
Modified
1307
588
0
Form and Instruction
SSA-4814
Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection
Other-Revised PA & PRA Statements
Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection
Modified
20
10
0
Form and Instruction
SSA-4815
Medical Report on Child with Allegation of Human Immunodeficiency virus (HIV) Infection
Other-Revised PA & PRA Statements
Total burden requested under this ICR:
1327
598
0
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