Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Case Study: Focus Group New 36 36 0 Form and Instruction CMS-10632 Case Study: Explanation of Consent, Short Survey, and Focus Group Facilitation Guide
Case Study: Semi-structured Interviews New 24 18 0 Form and Instruction CMS-10632 Appendix C - Case Study Explanation of Consent and Semi-Structured Interview
Consumer Survey New 2800 924 0 Form and Instruction CMS-10632 Consumer Survey and Informed Consent
Organizational Survey New 600 198 0 Form and Instruction CMS-10632 Appendix A - Organization Survey: Informed Consent and Survey
Total burden requested under this ICR: 3460 1176 0  
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