Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment A: Child HCAHPS Registration Form Modified 50 4 530 Form and Instruction 1
Attachment B: Child HCAHPS Database Data Use Agreement Modified 50 3 758 Form and Instruction 2
Attachment D: Hospital Information Submission Form Modified 50 4 530 Form and Instruction 3
Attachment E: Submission Emails Modified 50 50 4983 Form and Instruction 4
Total burden requested under this ICR: 200 61 6801  
To view an IC, click on IC Title