Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Economic Indicators New 23 23 0 Form and Instruction 0920-21GB
Emergency Department Injury Indicators New 23 115 0 Form and Instruction 0920-21GB
Hospital Discharge Injury Indicators New 23 115 0 Form and Instruction 0920-21GB
Implementation Capacity Rubric New 23 46 0 Form and Instruction 0920-21GB
Injury Indicators New 23 115 0 Form and Instruction 0920-21GB
Recipient-level Group Interviews New 23 35 0 Form and Instruction 0920-21GB
Special Emphasis Reports New 23 230 0 Form and Instruction 0920-21GB
Total burden requested under this ICR: 161 679 0  
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