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
Client Intake Form (client)
New
800
107
0
Form and Instruction
None
TRANSCEND Intake Form
Client Intake Form (data manager)
New
8
16
0
Form and Instruction
None
TRANSCEND Intake Form
Client Satisfaction Survey (client)
New
400
100
0
Form and Instruction
None
TRANSCEND Satisfaction Client Survey
Client Satisfaction Survey (data manager)
New
4
8
0
Form and Instruction
None
TRANSCEND Satisfaction Client Survey
Electronic Health Record Data
New
8
64
0
Other-Specification of Data Elements for Electronic Transfer
Total burden requested under this ICR:
1220
295
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
