Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Client Interview Protocol New 120 60 0 Form and Instruction 2
Medical Record Abstraction New 1500 120 0 Form and Instruction 3
Form and Instruction 4
Provider Interview Protocol New 100 100 0 Form and Instruction 1
Telephone Screening New 45 12 0 Form and Instruction 5
Total burden requested under this ICR: 1765 292 0  
To view an IC, click on IC Title