Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Ambulatory Unit Induction Interview 2018 Unchanged 578 145 6872 Form and Instruction none
Hospital Induction Interview 2018 Modified 113 85 7919 Form and Instruction none
Hospital Induction Interview 2019-2020 New 227 114 0 Form and Instruction 0920-0278
Re-Interview Study 2019-2020 New 127 32 0 Form and Instruction 0920-0278
Reabstraction Telephone Call Modified 5 1 20 Instruction
Retrieve Medical Records Modified 24600 410 7872 Instruction
Retrieve Medical Records Records (Reabstraction) Modified 50 1 16 Instruction
Total burden requested under this ICR: 25700 788 22699  
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