Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cognitive Testing of the Medical Expenditure Panel Survey (MEPS) Health Insurance Verification Module New 444 77 0 Form and Instruction B1
Form and Instruction C1
Environmental Scan for Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families New 48 43 0 Form and Instruction 2
Form and Instruction 4
Form and Instruction 6
Form and Instruction 8
Form and Instruction 1
Form and Instruction 3
Form and Instruction 5
Form and Instruction 7
Identifying, Assessing, and Balancing Competing Risks of Multiple Hospital-Acquired Conditions (HACs) New 24 36 0 Form and Instruction 2
Identifying, Assessing, and Balancing Competing Risks of Multiple Hospital-Acquired Conditions (HACs) New 28 28 0 Form and Instruction 3
Identifying, Assessing, and Balancing Competing Risks of Multiple Hospital-Acquired Conditions (HACs) New 24 36 0 Form and Instruction 1
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 568 220 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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