View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3220-0038	ICR Reference No: 197512-3220-003
Status: Historical Active	Previous ICR Reference No: 197512-3220-002
Agency/Subagency: RRB	Agency Tracking No:
Title: MEDICAL REPORT FORMS (REQUIRED - DISABILITY DETERMINATIONS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 12/22/1975
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/22/1975
	Date Received in OIRA: 12/22/1975
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1979	06/30/1979	06/30/1979
Responses	24,250	0	24,250
Time Burden (Hours)	4,040	0	4,040
Cost Burden (Dollars)	0	0	0

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