Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Office-Based Physicians Eligible/Physician Induction Interview Modified 1164 388 0 Instruction
Office-Based Physicians eligible/Cervical Cancer Screening Supplement New 712 178 0 Instruction
Office-Based Physicians eligible/Pulling and Re-filing Patient Record Form New 10620 177 0 Instruction
Office-Based Physicians ineligible/Physician Induction Interview New 788 66 0 Instruction
Office-based Physicians eligible/Patient Record Form New 60240 5020 0 Instruction
Office-based physicians eligible/Physician Induction Interview New 2362 1378 0 Instruction
Total burden requested under this ICR: 75886 7207 0  
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