Information Collection Request

Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form

ICR 201307-1845-006 · OMB 1845-0120 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1845-0000 Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form Form and Instruction New Available
NPRM072913e.pdf Supplementary Document Uploaded 2013-07-30 Available
Supp Statement RAAR form 06 27 13.docx Supporting Statement A Uploaded 2013-06-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
207947 Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form Form and Instruction New

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
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IC Title Form No. Form Name
Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form 1845-0000 Financial Disclosure for Reasonable and Affordable Rehabilitation Payments



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