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
Health Department Report - NHME Modified 138 190026 0 Form and Instruction 0920-0696
Total burden requested under this ICR: 538 206226 0  
To view an IC, click on IC Title