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Report of Treatment by Attending Physician (FL29-551A)

IC 28333 under ICR 201312-2900-003 · OMB 2900-0120.

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Form
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Report of Treatment by Attending Physician (FL29-551A) 2900-0120 VBA-INS-DB
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FL29-551A Report of Treatment by Attending Physician FL29-551a.pdf No   Paper Only

General Government Legislative Functions

 

20,277 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 20,277 0 0 0 0 20,277
Annual IC Time Burden (Hours) 5,069 0 0 0 0 5,069
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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