Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment C – Partner Hospital Champion Survey New 226 170 0 Form and Instruction 1
Attachment E – Interviews with Partner Hospital cardiologists New 32 16 0 Form and Instruction 3
Attachment F – Interviews with Partner Hospitals that withdraw New 9 3 0 Instruction
Attachment G – Learning Community Participant Survey New 400 100 0 Form and Instruction 4
Attachment H – Learning Community Follow-up Survey New 120 20 0 Form and Instruction 5
Interviews with Partner Hospital Champions New 16 24 0 Form and Instruction 2
Total burden requested under this ICR: 803 333 0  
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