Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment A: Child HCAHPS Registration Form New 300 25 0 Form and Instruction 1 Attachment A: Child HCAHPS Registration Form
Attachment B: Child HCAHPS Database Data Use Agreement New 300 15 0 Form and Instruction 2 Attachment B: Child HCAHPS Database Data Use Agreement
Attachment D: Hospital Information Submission Form New 300 25 0 Form and Instruction 3 Attachment D: Hospital Information Submission Form
Attachment E: Submission Emails New 300 300 0 Form and Instruction 4 Attachment E: Submission Emails
Total burden requested under this ICR: 1200 365 0  
To view an IC, click on IC Title