Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment C- Data Use Agreement New 165 8 1148 Form and Instruction 3
Attachment D- Data File Emails New 165 165 23694 Form and Instruction 4
Data Files Submission Removed 0 0 0 Form and Instruction Attachment D
Data Use Agreement Removed 0 0 0 Form and Instruction Form # 2
Eligibility/Registration Form and Data Submission Removed 0 0 0 Form and Instruction Form # 1
Hospital Eligibility and Registration Form New 165 8 1148 Form and Instruction 1
Hospital Information Form Removed 0 0 0 Form and Instruction Form # 3
Hospital Site Information New 495 41 5888 Form and Instruction 2
Total burden requested under this ICR: 990 222 31878  
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