Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Evidence Based Telehealth Network Program Report New 168 1848 0 Form 1 Evidence Based Telehealth Network Program Report.pdf
Form 1 CORRECTED PDF - FORM Evidence Based Telehealth Network Program Report
Telehealth Performance Measurement Report New 14 70 0 Form 2 Telehealth Performance Measurement Report.docx
Form 2 FORM_Telehealth Performance Measurement Report RESPONSE CLEAN.docx
Total burden requested under this ICR: 182 1918 0  
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