Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certificates of Medical Examination Modified 1250 1542 0 Form and Instruction 4339-1 Certificate of Medical Examination (with Report of Medical History)
Form and Instruction 4306-5 Medical Documentation for Employees Reasonable Accommodation Request
Total burden requested under this ICR: 1250 1542 0  
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