Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Evidence Based Telehealth Network Program Report Modified 168 1848 0 Form and Instruction 1 RTRC Data Element Dictionary
Telehealth Performance Measurement Report Modified 14 70 0 Form and Instruction 1 Evidence-Based Telehealth Network Program_Data Dictionary
Total burden requested under this ICR: 182 1918 0  
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