Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Client Report Modified 1532 173116 0 Other-Redline
Form and Instruction 3 Client Level Data on File
Provider Report Unchanged 2063 26819 0 Form and Instruction 2 Provider Report
Recipient Report Unchanged 595 6545 0 Form and Instruction 1 Recipient Report
Total burden requested under this ICR: 4190 206480 0  
To view an IC, click on IC Title