Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Anesthesis Modified 15 15 0 Form NA
Audiology Modified 7 1 0 Form NA
Dental Privileges Modified 150 50 0 Form NA
Indian Health Service Medical Staff Credentials and Privileges Files Modified 570 570 0 Form and Instruction NA
Internal Medicine/Family Practice Privilege Modified 325 325 0 Form NA
OB-GYN Modified 20 20 0 Form NA
Optometry Modified 21 7 0 Form NA
Pathology Modified 3 1 0 Form NA
Podiatry Modified 7 1 0 Form NA
Psychiatry Modified 13 13 0 Form NA
Psychology Modified 30 5 0 Form NA
Radiology Modified 8 3 0 Form NA
Reaapointment Request Modified 190 190 0 Form NA
Reference Letter Modified 1710 570 0 Form NA
Surgery Modified 20 20 0 Form NA
Total burden requested under this ICR: 3089 1791 0  
To view an IC, click on IC Title