Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ASL Patient Record Form Modified 5400 630 0 Form none
Ambulatory Unit Induction Modified 1779 445 0 Instruction
Cervical Cancer Screening Supplement Removed 0 0 0 Form unnumbered
ED Patient Record Form Modified 11300 1318 0 Form none
Hospital Induction Form Modified 482 723 0 Form none
Medical Record Reabstraction Modified 720 12 0 Instruction
OPD Patient Record Form Modified 15600 2600 0 Form none
Pulling and re-filing Patient Records Modified 97090 1618 0 Instruction
Reabstraction Telephone Call Modified 72 6 0 Instruction
Total burden requested under this ICR: 132443 7352 0  
To view an IC, click on IC Title