Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medical Travel Refund Request Modified 356875 53531 239106 Form and Instruction OWCP-957A Medical Travel Refund Request - Mileage
Form and Instruction OWCP 957B Medical Travel Refund Request - Expenses
Total burden requested under this ICR: 356875 53531 239106  
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