Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Administrator or Hospital Executive New 151 8 0 Other-instrument
Bachelors New 3753 188 0 Other-instrument
Dental Professional New 39 2 0 Other-instrument
Dentist New 377 19 0 Other-instrument
Doctorate New 1130 57 0 Other-instrument
Emergency Medical Technician New 492 25 0 Other-instrument
General Healthcare Worker New 12635 632 0 Other-instrument
Lawyer New 107 5 0 Other-instrument
Masters New 4063 203 0 Other-instrument
Mental Health Professional New 180 9 0 Other-instrument
Nurse New 44723 2236 0 Other-instrument
Pharmacist, RPH New 750 38 0 Other-instrument
Physician New 27477 1374 0 Other-form
Other-form
Physician Assistant New 1882 94 0 Other-instrument
Policymaker or Public Official New 17 1 0 Other-instrument
Psycologist/Psychiatrist New 189 9 0 Other-instrument
Social Worker New 1733 87 0 Other-instrument
Student New 7504 375 0 Other-instrument
Teacher New 424 21 0 Other-instrument
other New 10880 544 0 Other-instrument
public Health New 186 9 0 Other-instrument
Total burden requested under this ICR: 118692 5936 0  
To view an IC, click on IC Title