Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Data Use Agreement
New
250
13
0
Form and Instruction
Form #2
Data Use Agreement
Eligibility/Registration Form and Data Submission
New
250
1400
0
Form and Instruction
Form #1
Eligibility and Registration Form
Hospital Information Form
New
750
63
0
Form and Instruction
Form #4
Hospital Information Form
Patient Safety Improvement Initiatives Form
New
375
31
0
Form and Instruction
Form #3
Patient Safety Improvement Initiatives Form
Total burden requested under this ICR:
1625
1507
0
To view an IC, click on IC Title