Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
COVID-19 Healthcare Worker Form - Business/Financial Operations New 93420 38925 0 Form and Instruction 0920-1290
COVID-19 Healthcare Worker Form - Microbiologist New 374220 155925 0 Form and Instruction 0920-1290
COVID-19 Healthcare Worker Form - State and Local Health Department New 93420 38925 0 Form and Instruction 0920-1290
COVID-19 Patient Impact Module Form - Business/Financial Operations New 93420 38925 0 Form NA
Instruction
COVID-19 Patient Impact Module Form - Microbiologist Modified 374220 155925 0 Form NA
Instruction
COVID-19 Patient Impact Module Form - State and Local Health Departments New 93420 38925 0 Form NA
Instruction
COVID-19 Supplies Form - Business/Financial Operations New 93420 38925 0 Form and Instruction 0920-1290
COVID-19 Supplies Form - Microbiologist New 374220 155925 0 Form and Instruction 0920-1290
COVID-19 Supplies Form - State and Local Health Department New 93420 38925 0 Form and Instruction 0920-1290
Total burden requested under this ICR: 1683180 701325 0  
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