Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
EHR Data New 50 375 0 Form and Instruction 0920-19MM
Focus Groups New 72 108 0 Form and Instruction 0920-19MM
Healthcare Professionals Survey New 50 17 0 Instruction
Key Informant Interview Guide and Consent New 12 12 0 Form and Instruction 0920-19MM
Total burden requested under this ICR: 184 512 0  
To view an IC, click on IC Title