Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medical Office Eligibility and Registration Form Modified 85 5 0 Form and Instruction Form #1
Medical Office SOPS Data Submission Emails Unchanged 85 85 0 Form and Instruction Form #4
Medical Office SOPS Data Use Agreement Modified 85 5 0 Form and Instruction Form #3
Medical Office Site Information Form Unchanged 2550 213 0 Form and Instruction Form #2
Total burden requested under this ICR: 2805 308 0  
To view an IC, click on IC Title