Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HCUP Application Form Modified 1800 1050 51250 Form and Instruction 1 Attachment A- HCUP DUA Agreement Training Course
Form and Instruction 2 HCUP DUA for the Nationwide Databases
Form and Instruction 3 HCUP DUA for the State Databases
Form and Instruction 4 Online application form
Total burden requested under this ICR: 1800 1050 51250  
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