Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application Form Modified 100 50 0 Form 0920-0976
Interview Guide Modified 35 35 0 Form and Instruction 0920-0976
Form 0920-0976
Million Hearts® Hypertension Control Champion Data Verification Form Modified 40 80 0 Form and Instruction 0920-0976
Form 0920-0976
Total burden requested under this ICR: 175 165 0  
To view an IC, click on IC Title