Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Evidence Based Telehealth Network Program Report Modified 44 1364 0 Form and Instruction 1
Instruction
Other-Supplemental
Telehealth Performance Measurement Report Modified 11 55 0 Form and Instruction 1
Form and Instruction 1.1
Total burden requested under this ICR: 55 1419 0  
To view an IC, click on IC Title