Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Fire and Aviation Medical Management Qualifications Program Modified 61000 20587 0 Form FS-5100-30 Informed Consent
Form FS-5100-31 Health Screening Questionnaire
Form FS-5100-41 Essential Function & Work Conditions
Form FS-5100-42 Self Certification Statement
Total burden requested under this ICR: 61000 20587 0  
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