View Information Collection (IC)

View Information Collection (IC)

Medical Review Officer
No New
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Federal CCF Federal CCF Attachment D.pdf Yes No Paper Only

Health Public Health Monitoring


7,096,000 0
Federal Government
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 7,096,000 0 7,096,000 0 0 0
Annual IC Time Burden (Hours) 354,800 0 354,800 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.