Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HA-4633 - Electronic Records Express Submissions Modified 236550 78850 0 Form and Instruction HA-4633
Other-Internet Screens
HA-4633 - Paper Version Modified 48450 16150 0 Form HA-4633
Total burden requested under this ICR: 285000 95000 0  
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