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
HQIC Hospital Survey
Modified
500
167
0
Form and Instruction
CMS-10769
HQIIC Hospital Survey
NQIIC Nursing Home Survey
Modified
500
167
0
Form and Instruction
CMS-10769
NQIIC Nursing Home Survey
Outpatient Clinician Survey
New
900
225
0
Form and Instruction
CMS-10769
Outpatient Clinicians Online Survey Instrument
Total burden requested under this ICR:
1900
559
0
To view an IC, click on IC Title
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