Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Chronic Disease Self-Management Education Program New 66 440 0 Form and Instruction 5 Semi-annual Performance Report and sample template
Form and Instruction 6 CDSME Sustainability Tool
Chronic Disease Self-Management Education Program New 28056 3550 0 Form and Instruction 1 Workshop InfoCover Sheet
Form and Instruction 3 Attendance Log
Form and Instruction 2 Participant Information Survey
Form and Instruction 4 Organization Site Types
Total burden requested under this ICR: 28122 3990 0  
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