Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Dental Assessment Form - Recordkeeping Time Unchanged 16000 2720 0 Form 1
Dental Assessment Form - Reporting Time Unchanged 16000 1920 0 Form 1
Medical Assessment Form - Recordkeeping Time (completed by a medical professional) Modified 268500 88605 0 Form 1
Medical Assessment Form - Recordkeeping Time (information obtained via health records) Modified 50000 8500 0 Form 1
Medical Assessment Form - Reporting Time for Medical Specialist, General Modified 16500 3630 0 Form 1
Medical Assessment Form - Reporting Time for Pediatricians, General Modified 252000 55440 0 Form 1
Total burden requested under this ICR: 619000 160815 0  
To view an IC, click on IC Title