Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Survey of Office-based Physicians in Private Sector Modified 2000 500 0 Form none Survey of Health Care Providers
Form none Provider Survey Screenshots
Survey of Title X Clinic Administrators Modified 2000 1333 0 Form none Survey of Administrators of Publicly-funded Health Centers that Provide Family Planning Services
Form none Administrator Survey Screenshots
Survey of Title X Clinic Providers Modified 2000 500 0 Form none Survey of Health Care Providers
Form none Provider Survey Screenshots
Survey of non-Title X Clinic Administrators Modified 2000 1333 0 Form none Survey of Adminstrators of Publicly-Funded Health Centers that Provide Family Planning Services
Form none Administrator Survey Screenshots
Survey of non-Title X Clinic Providers Modified 2000 500 0 Form none Survey of Health Care Providers
Form none Provider Survery Screenshots
Total burden requested under this ICR: 10000 4166 0  
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