Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application Form Modified 200 100 0 Form and Instruction 0920-0976 Million Hearts® Hypertension Control Champion Application
Interview Guide Modified 35 35 0 Form and Instruction 0920-0976 Interview Guide: Million Hearts® Hypertension Control Champion
Million Hearts® Hypertension Control Champion Data Verification Form Modified 40 80 0 Form and Instruction 0920-0976 Million Hearts® Hypertension Control Champion Data Verification Form
Total burden requested under this ICR: 275 215 0  
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