OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Request for Medical Reports

IC 38456 under ICR 200001-1215-003 · OMB 1215-0106.

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

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Request for Medical Reports
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form LS-525 No No
Form LS-158 No No
Form LS-415 No No


    

2,520 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 2,520 0 0 0 0 2,520
Annual IC Time Burden (Hours) 1,260 0 0 0 0 1,260
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.