View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3220-0038	ICR Reference No: 199406-3220-002
Status: Historical Active	Previous ICR Reference No: 199406-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: MEDICAL REPORTS
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: 06/28/1994
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/28/1994
	Date Received in OIRA: 06/28/1994
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/1996	08/31/1996	08/31/1996
Responses	12,000	0	40,900
Time Burden (Hours)	2,085	0	15,154
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
MEDICAL REPORTS	G-3EMP, G-250,, G-250A, G-260,, RL-11B, RL-11D

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