Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DSP-MRT Standard Tool Modified 468 1404 0 Form and Instruction Standard Tool Standard Tool
Section A: Rx Modified 100 100 0 Form and Instruction Section A: Rx Section A: Rx
Section B: PDO Modified 69 69 0 Form and Instruction Section B: PDO Section B: PDO
Section C: PFS Outcomes New 71 213 0 Form and Instruction PFS PFS
Total burden requested under this ICR: 708 1786 0  
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