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
Claimant's Medication - PDF/Paper Version
Modified
51000
62900
0
Form
HA-4632
Claimant's Medications
Other-Revised Privacy Act Statement
Claimant's Medications - ERE Internet Version
Modified
249000
83000
0
Other-Internet Screens
Form
HA-4632
Claimant's Medications
Other-Revised Privacy Act Statement
Total burden requested under this ICR:
300000
145900
0
To view an IC, click on IC Title
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