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
Form 10-2201, "Personal Qualifications Statement"
Modified
250
1750
26738
Form and Instruction
Form 10-2201
Personal Qualifications Statement
Instruction
Form 10-2201A, "Information Release Form"
Modified
250
63
3
Form and Instruction
Form 10-2201A
Information Release Form
Form 10-2201B, "Release to Obtain a Credit Report"
Modified
250
42
3
Form and Instruction
Form 10-2201B
Release to Obtain a Credit Report
Form 10-2201C, "Lautenberg Certification"
Modified
250
21
3
Form and Instruction
Form 10-2201C
Lautenberg Certification
Form 10-2201D, "Physical Efficiency Battery "Waiver"
Modified
250
21
3
Form and Instruction
Form 10-2201D
Physical Efficiency Battery "Waiver"
Form 10-2201E, "Physician Consent Form"
Removed
0
0
0
Form and Instruction
Form 10-2201E
Physician Consent Form
Form 10-2201F, "Applicant Documentation Form"
Removed
0
0
0
Form and Instruction
Form 10-2201F
Applicant Documentation Form
Total burden requested under this ICR:
1250
1897
26750
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