Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Technical Assistance (TA) Evaluation Form - 9042 Modified 128 11 0 Form and Instruction DHS Form 9042 CISA Technical Assistance (TA) Evaluation Form
Technical Assistance (TA) Request Form - 9043 Modified 94 39 0 Form and Instruction DHS Form 9043 CISA Technical Assistance (TA)Request Form
Total burden requested under this ICR: 222 50 0  
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