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
Third Party Collection Program (Insurance Information)
Modified
3478500
231900
7323402
Form
DD Form 2569
Third Party Collection Program/Medical Services Account/Other Health Insurance
e2569 Module
New
2319000
154600
4882268
Other-Screenshots
Total burden requested under this ICR:
5797500
386500
12205670
To view an IC, click on IC Title
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