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Information Collection

Medical Report (individual With Childhood Impairement)

IC 114961 under ICR 198007-0960-002 · OMB 0960-0159.

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Information Collection (IC) Details

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MEDICAL REPORT (INDIVIDUAL WITH CHILDHOOD IMPAIREMENT)
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-826CH No No
Form SSA 826 CH No No


    

75,000 0
   
Individuals or Households
 
   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 75,000 0 0 75,000 0 0
Annual IC Time Burden (Hours) 37,500 0 0 37,500 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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