Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DCS 343 and 344: Specific Authorization for Disclosure of Financial Information and Specific Authorization for Release of Behavioral Health and Related Medical Information New 3563 297 18121 Form and Instruction DCSA 343 Specific Authorization for Disclosure of Financial Information
Form and Instruction DCSA 344 Specific Authorization for Release of Behavioral Health and Related Medical Information
Total burden requested under this ICR: 3563 297 18121  
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