Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Interview Questionnaire Modified 7760 5173 134015 Form and Instruction none
Lookup Contact Information Modified 1940 65 1622 Instruction
Model Patient Recruitment Script - Facility Modified 970 81 2027 Form and Instruction none
Pull Medical Records Modified 7760 388 9700 Instruction
Total burden requested under this ICR: 18430 5707 147364  
To view an IC, click on IC Title