Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
491.11 - Program Evaluation - Existing FHQCs Modified 11252 33756 0
491.11 - Program Evaluation - New FQHCs Modified 727 7270 0
491.11 - Program Evaluation - New RHCs Modified 335 3350 0
491.11 Program Evaluation - Existing RHCs Modified 5349 16047 0
491.9(b) - Patient Care Policies - Existing FQHCs Modified 11252 22504 0
491.9(b) Patient Care Policies - Existing RHCs Modified 5349 10698 0
491.9(b) Patient Care Policies - New FQHCs Modified 727 7270 0
491.9(b) Patient Care Policies - New RHCs Modified 335 3350 0
Total burden requested under this ICR: 35326 104245 0  
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