Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cooperative leadership New 8 12 0 Form and Instruction 5
Form and Instruction 6
Cooperative leadership New 36 36 0 Form and Instruction 1
Cooperative partners New 60 60 0 Form and Instruction 2
Cooperative partners New 4 6 0 Form and Instruction 5
Form and Instruction 6
Grantee leadership New 8 12 0 Form and Instruction 5
Form and Instruction 6
Grantee leadership New 36 36 0 Form and Instruction 1
Network practices New 12 18 0 Form and Instruction 6
Practices in network not participating in Heart Health QI project New 16 16 0 Form and Instruction 4
Practices in network participating in Heart Health QI project New 28 28 0 Form and Instruction 4
Unaffiliated organizations New 4 6 0 Form and Instruction 6
Unaffiliated organizations New 24 24 0 Form and Instruction 3
Total burden requested under this ICR: 236 254 0  
To view an IC, click on IC Title