Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Chronic Disease Self-management Questionnaire Modified 380 63 0 Form and Instruction 0920-1265 1265 Att 4(a) CDSMP Questionnaire
Chronic Disease Self-management Workshop Evaluation Modified 190 32 0 Form and Instruction 0920-1265 Att 4 CDSMP Workshop Evaluation
Total burden requested under this ICR: 570 95 0  
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