Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment A - ASC Eligibility and Registration Form Modified 60 3 0 Form and Instruction Form 1
Attachment B - Data Use Agreement Modified 60 3 0 Form and Instruction Form 3
Attachment C - ASC Site Information Form Modified 240 20 0 Form and Instruction Form 2
Attachment D - Data Files Submission Modified 60 60 0 Form and Instruction Form 4
Total burden requested under this ICR: 420 86 0  
To view an IC, click on IC Title