Additional Documentation and Certification

Countermeasures Injury Compensation Program (CICP)

OMB: 0915-0334

IC ID: 208417

Information Collection (IC) Details

View Information Collection (IC)

Additional Documentation and Certification
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Additional Documentation and Certification 3 Additional Documentation Form.pdf Yes Yes Paper Only

Health Immunization Management

 

30 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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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