Burden Statement

Public burden reporting for this collection of information is estimated to average 90 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Health & Human Services, Attn: OMB Number 0990-0478/HHS Chief Data Officer, 200 Independence Ave. SW, Washington, DC 20201. The OMB clearance number, 0990-0478, is currently valid.