PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
BHI EB–TNP Outcome Measurement Report
New
27
135
0
Form and Instruction
1
Evidence Based Telehealth Network Program (EB-TNP) Outcome Measurement Report
Form and Instruction
2
Patient Travel Miles Saved
Total burden requested under this ICR:
27
135
0
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