Medical Report - General

MEDICAL REPORT - GENERAL

OMB: 0960-0052

IC ID: 114446

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MEDICAL REPORT - GENERAL
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-3826 No No


    

750,000 0
   
Private Sector Businesses or other for-profits
 
   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 750,000 0 0 0 0 750,000
Annual IC Time Burden (Hours) 375,000 0 0 0 0 375,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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