Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Care Provider Survey New 39105 6648 0 Form and Instruction 1-1
Form and Instruction 1-1 Tracked
Form and Instruction 1-2
Form and Instruction 1-2 Tracked
Practice-Level Survey New 12495 3124 0 Form and Instruction 2-1
Form and Instruction 2-2
Program Implementation Survey New 84 28 0 Form and Instruction 3-1
Form and Instruction 3-2
Program Implmentation Semi-Structured Interview New 28 28 0 Form and Instruction 4-1
Form and Instruction 4-2
Total burden requested under this ICR: 51712 9828 0  
To view an IC, click on IC Title