Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Behavioral Survey Modified 2700 315 8100 Form and Instruction n/a
Form and Instruction n/a
Informed Consent Modified 450 113 2894 Other-Consent for HOPS Data Abstraction from Medical Chart
Total burden requested under this ICR: 3150 428 10994  
To view an IC, click on IC Title