Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HCUP Application Form New 1200 200 0 Form and Instruction Form #1 NIS Application
Form and Instruction Form #2 KID Application
Form and Instruction Form #3 NEDS Application
Form and Instruction Form #4 SID & SASD &SEDD Application
HCUP DUA New 1200 100 0 Form and Instruction Form #1 NIS Data Use Agreement
Form and Instruction Form #2 KID Data Use Agreement
Form and Instruction Form #3 NEDS Data Use Agreement
Form and Instruction Form #4 SID Data Use Agreement
Form and Instruction Form #5 SASD Data Use Agreement
Form and Instruction Form #6 SEDD Data Use Agreement
HCUP DUA Training New 1200 300 0 Form and Instruction Form #1 HCUP Data Use Agreement Training
Total burden requested under this ICR: 3600 600 0  
To view an IC, click on IC Title