Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Community-Based Organization Report - NHME Modified 400 16200 0 Form and Instruction 0920-0696 NHME Data Variables and Values
Health Department Report - NHME Modified 138 190026 0 Form and Instruction 0920-0696 NHME Data Variables and Values
Total burden requested under this ICR: 538 206226 0  
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