Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Individual 504 Service Plan (Form S-25) – Care Provider Case Manager Unchanged 2100 6300 0 Form and Instruction S-25 Individual 504 Service Plan
Individual 504 Service Plan (Form S-25) – Child Unchanged 2000 4000 0 Form and Instruction S-25 Individual 504 Service Plan
Total burden requested under this ICR: 4100 10300 0  
To view an IC, click on IC Title