Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Interview Guide Modified 130 65 0 Form and Instruction CMS-10816 Informed Consent
Form and Instruction CMS-10816 Cognitive Interview Protocol
Invitation & Screening Unchanged 350 30 0 Form and Instruction CMS-10816 Recruitment Script
Form and Instruction CMS-10816 Eligibility Screener Questionnaire
Total burden requested under this ICR: 480 95 0  
To view an IC, click on IC Title