Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Beneficiaries Modified 400 100 0 Other-Introductory Letter English
Other-Introductory Letter Spanish
Other-Telephone Introductory Script English
Other-Telephone Survey Script Spanish
Other-Reminder Voicemail Script English
Other-Reminder Voicemail Script Spanish
Other-Reminder Letter English
Other-Reminder Letter Spanish
Other-Confidentiality Agreement
Health Care Providers and Suppliers Modified 400 100 0 Form and Instruction Appendix B1 Appellant Climate Survey Telephone English
Form and Instruction Appendix B2 Appellant Climate Survey Telephone Spanish
Other-Appellant Climate Survey Mail English
Other-Survey Mail Spanish
Other-Survey Web English
Other-Survey Web Spanish
Total burden requested under this ICR: 800 200 0  
To view an IC, click on IC Title