Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Data Use Agreement Information Collection Requirements, Model Language, and Supporting Regulations in 45 CFR Section 5b	Modified	9200	2900	0	Form and Instruction	R-0235 DUA	Form-R-0235 DUA
					Form and Instruction	R-0235a	Form 0235a Addendum
					Form and Instruction	R-0235L	CMS-R-0235L oeda
					Form and Instruction	R-0235u.	cms-r-0235u
Total burden requested under this ICR:		9200	2900	0
To view an IC, click on IC Title