Eating Disorder Treatment Summary Form

Individual Specific Medical Evaluation Forms (15)

OMB: 0420-0550

IC ID: 201708

Information Collection (IC) Details

View Information Collection (IC)

Eating Disorder Treatment Summary Form PC-262-8
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-262-8 Eating Disorder Treatment Summary Form Eating_Disorder_Treatment_Summary.docx Yes No Fillable Printable

International Affairs and Commerce International Development and Humanitarian Aid

Eating Disorder Treatment Summary Form   70 FR 1

282 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 282 0 -182 0 0 464
Annual IC Time Burden (Hours) 494 0 -782 0 0 1,276
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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