Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Anesthesis New 16 16 0
Audiology New 6 1 0
Dental Privileges New 128 43 0
Indian Health Service Medical Staff Credentials and Privileges Files Modified 600 600 0
Internal Medicine/Family Practice Privilege New 387 387 0
OB-GYN New 25 25 0
Optometry New 21 7 0
Pathology New 3 1 0
Podiatry New 6 1 0
Psychiatry New 18 18 0
Psychology New 23 4 0
Radiology New 9 3 0
Reaapointment Request New 200 200 0
Reference Letter New 1800 600 0
Surgery New 23 23 0
Total burden requested under this ICR: 3265 1929 0  
To view an IC, click on IC Title