Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ADSC Provider Questionnaire Modified 875 438 24990 Form and Instruction None
ADSC Services User Questionnaire New 875 438 24990 Form and Instruction None
Data Retrieval Removed 0 0 0 Form 0920-0943
EHRs Subject Matter Expert Interview New 10 10 571 Form and Instruction None
RCC Provider Questionnaire Modified 1045 523 29845 Form and Instruction None
RCC Services User Questionnaire New 1045 523 29845 Form and Instruction None
Total burden requested under this ICR: 3850 1932 110241  
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