Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Core measures (Instrument 5) Unchanged 15999 1280 0 Other-Survey
Entry Survey (Instrument 1) Modified 138249 20737 0 Other-Survey
Exit Survey (Instrument 2) Modified 110599 14746 0 Other-Survey
Performance Measure Data Report Form (Instrument 4) Unchanged 832 11472 0 Other-Data Entry Form
Performance Measures Data Report Form (Instrument 3) Modified 186 3076 0 Other-Data Entry Form
Total burden requested under this ICR: 265865 51311 0  
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