FOLLOW-UP TO THE 1983 PHYSICIANS' PRACTICE COSTS AND INCOME SURVEY (PPCIS)

ICR 198608-0990-001

OMB: 0990-0166

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0990-0166 198608-0990-001
Historical Active
HHS/HHSDM
FOLLOW-UP TO THE 1983 PHYSICIANS' PRACTICE COSTS AND INCOME SURVEY (PPCIS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/16/1986
Retrieve Notice of Action (NOA) 08/13/1986
  Inventory as of this Action Requested Previously Approved
09/30/1987 09/30/1987
3,604 0 0
773 0 0
0 0 0

THIS SURVEY WILL COLLECT DATA FROM APPROXIMATELY 3470 PHYSICIANS IN THE U.S. TO OBTAIN INFORMATION ON: TIME AND COMPLEXITY OF HIGH VOLUME OR HIGH COST MEDICARE PROCEDURES, PHYSICIAN PARTICIPATION IN MEDICARE ASSIGNMENT, AND MALPRACTICE INSURANCE.

None
None


No

1
IC Title Form No. Form Name
FOLLOW-UP TO THE 1983 PHYSICIANS' PRACTICE COSTS AND INCOME SURVEY (PPCIS)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,604 0 0 3,604 0 0
Annual Time Burden (Hours) 773 0 0 773 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/13/1986


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