Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Next of Kin Modified 941 78 0 Instruction
Form 2
Form 1
OS Participants Modified 47600 19801 0 Form 1
Form 2
Form 3
Form 4
Form 4
Form 6
Form 7
Form 8
Physician/Office Staff Modified 8 1 0 Form 1
Total burden requested under this ICR: 48549 19880 0  
To view an IC, click on IC Title