Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Data Use Agreement Modified 304 15 0 Form and Instruction Form #2
Eligibility/Registration Form and Data Submission Modified 304 1702 0 Form and Instruction Form #1
Hospital Information Form Modified 912 76 0 Form and Instruction Form #3
Patient Safety Improvement Initiatives Form Removed 0 0 0 Form and Instruction Form #3
Total burden requested under this ICR: 1520 1793 0  
To view an IC, click on IC Title