Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HCUP Application Form Modified 500 250 0 Form and Instruction Form #1 Attachment A -- Online Application Order Form for Products
HCUP DUA Modified 500 250 0 Form and Instruction Form #1 NIS Data Use Agreement
Form and Instruction Form #2 KID Data Use Agreement
Form and Instruction Form #3 NEDS Data Use Agreement
Form and Instruction Form #4 SID Data Use Agreement
Form and Instruction Form #5 SASD Data Use Agreement
Form and Instruction Form #6 SEDD Data Use Agreement
Form and Instruction 1 Online Application Order Form
HCUP DUA Training Modified 500 250 0 Form and Instruction Form #1 HCUP Data Use Agreement Training
Form and Instruction 1 Online Application Order Form
Total burden requested under this ICR: 1500 750 0  
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