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
Dental Assessment Form - Recordkeeping Time
Modified
16000
2720
0
Form
1
Dental Assessment Form
Dental Assessment Form - Reporting Time
Modified
16000
1920
0
Form
1
Dental Assessment Form
Medical Assessment Form - Recordkeeping Time (completed by a medical professional)
Modified
268500
88605
0
Form
1
Medical Assessment Form
Medical Assessment Form - Recordkeeping Time (information obtained via health records)
Modified
50000
8500
0
Form
1
Medical Assessment Form
Medical Assessment Form - Reporting Time for Medical Specialist, General
Modified
16500
3630
0
Form
1
Medical Assessment Form
Medical Assessment Form - Reporting Time for Pediatricians, General
Modified
252000
55440
0
Form
1
Medical Assessment Form
Total burden requested under this ICR:
619000
160815
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
