Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
The National Healthcare Safety Network New 10000 1667 0 Form Form No. 57.75LL
The National Healthcare Safety Network Modified 45000 7500 0 Form Form No. 57.75FF
The National Healthcare Safety Network New 90 15 0 Form Form No. 57.75II
The National Healthcare Safety Network New 4500 750 0 Form Form No. 57.75GG
The National Healthcare Safety Network New 90 15 0 Form Form No. 57.75HH
The National Healthcare Safety Network New 10000 833 0 Form Form No. 57.75JJ
Total burden requested under this ICR: 69680 10780 0  
To view an IC, click on IC Title