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Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Pract Modified 3720431 324777 16732083 Form and Instruction NPDB Identity Proofing Forms NPDB Identity Proofing Forms
Form 0915-0126 NPDB Forms NPDB Forms
Section 1921 forms New 61 46 0 Form and Instruction 2 60.10: Adverse Actions - Private Accreditation
Form and Instruction 3 60.10: Adverse Actions - Peer Review Organizations
Form and Instruction 1 60.9: Licensure Actions
Total burden requested under this ICR: 3720492 324823 16732083  
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