Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Anesthesis Unchanged 15 15 0 Form and Instruction 0917-0009-8
Audiology Unchanged 7 1 0 Form and Instruction 0917-0009-12
Dental Privileges Unchanged 150 50 0 Form and Instruction 0917-0009-9
Indian Health Service Medical Staff Credentials and Privileges Files Unchanged 570 570 0 Form and Instruction 0917-0009-1
Medical Privileges Request Form Unchanged 325 325 0 Form and Instruction 0917-0009-4
OB-GYN Unchanged 20 20 0 Form and Instruction 0917-0009-5
Pathology Unchanged 3 1 0 Form and Instruction 0917-009-15
Podiatry Unchanged 7 1 0 Form and Instruction 0917-0009-13
Psychiatry Unchanged 13 13 0 Form and Instruction 0917-0009-7
Psychology Unchanged 30 5 0 Form and Instruction 0917-0009-11
Radiology Unchanged 8 3 0 Form and Instruction 0917-0009-14
Reaapointment Request Unchanged 190 190 0 Form and Instruction 0917-0009-3
Reference Letter Unchanged 1710 570 0 Form and Instruction 0917-0009-2
Surgery Unchanged 20 20 0 Form and Instruction 0917-0009-6
Total burden requested under this ICR: 3068 1784 0  
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