Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Facility Staff pulling medical records New 7488 374 0 Instruction
Facility staff providing EPLs New 936 1872 0 Instruction
Facility staff providing patient lists New 1030 515 0 Instruction
Patients approached by facility staff for enrollment New 3120 260 0 Instruction
Persons Interviewed with standard interview New 7988 5991 0 Instruction
Persons interviewed with short and Proxy interview New 332 111 0 Instruction
Instruction
Total burden requested under this ICR: 20894 9123 0  
To view an IC, click on IC Title