PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Healthcare Facility Assessment (HFA)
Modified
100
75
2652
Form
none
Healthcare Facility Assessment
Patient Information Form (PIF)
Modified
6300
1785
63118
Form
none
Patient Information
Total burden requested under this ICR:
6400
1860
65770
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
