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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title