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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Data Use Agreement
Modified
304
15
0
Form and Instruction
Form #2
Data Use Agreement
Eligibility/Registration Form and Data Submission
Modified
304
1702
0
Form and Instruction
Form #1
Eligibility and Registration Form
Hospital Information Form
Modified
912
76
0
Form and Instruction
Form #3
Hospital Information Form
Patient Safety Improvement Initiatives Form
Removed
0
0
0
Form and Instruction
Form #3
Patient Safety Improvement Initiatives Form
Total burden requested under this ICR:
1520
1793
0
To view an IC, click on IC Title