Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Clinical staff questionnaire New 50 4 265 Form none
PCP post-discharge survey New 50 4 265 Form none
Post-discharge Patient Questionnaire New 2400 400 9355 Form none
Pre-discharge patient questionnaire New 800 133 3112 Form none
Total burden requested under this ICR: 3300 541 12997  
To view an IC, click on IC Title