Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Restraint/Seclusion Death Report Worksheet Modified 6225 2054 0 Form and Instruction CMS-10455
Form and Instruction CMS-10455
Form and Instruction CMS-10455
Total burden requested under this ICR: 6225 2054 0  
To view an IC, click on IC Title