Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HCUP Application Form Modified 1300 217 0 Form and Instruction Form #1 NIS Application
Form and Instruction Form #2 KID Application
Form and Instruction Form #3 NEDS Application
Form and Instruction Form #4 SID & SASD &SEDD Application
HCUP DUA Modified 1300 108 0 Form and Instruction Form #1 NIS Data Use Agreement
Form and Instruction Form #2 KID Data Use Agreement
Form and Instruction Form #3 NEDS Data Use Agreement
Form and Instruction Form #4 SID Data Use Agreement
Form and Instruction Form #5 SASD Data Use Agreement
Form and Instruction Form #6 SEDD Data Use Agreement
HCUP DUA Training Modified 1300 325 0 Form and Instruction Form #1 HCUP Data Use Agreement Training
Total burden requested under this ICR: 3900 650 0  
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