MEDICAL QUALITY ASSURANCE ASSESSMENT

ICR 199007-3150-003

OMB: 3150-0148

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
156478
Migrated
ICR Details
3150-0148 199007-3150-003
Historical Active 198908-3150-001
NRC
MEDICAL QUALITY ASSURANCE ASSESSMENT
Revision of a currently approved collection   No
Regular
Approved without change 08/23/1990
Retrieve Notice of Action (NOA) 07/03/1990
  Inventory as of this Action Requested Previously Approved
08/31/1993 08/31/1993 09/30/1990
725 0 602
1,450 0 1,204
0 0 0

THE ASSESSMENT WILL BE CONDUCTED THROUGH USE OF A QUESTIONNAIRE THAT WILL BE COMPLETED BY NRC INSPECTORS DURING INSPECTIONS OF MEDICAL LICENSEES. THE ASSESSMENT WILL PROVIDE INFORMATION TO NRC ON THE INSTITUTIONS. RESULTS WILL BE USED BY NRC'S QUALITY ASSURANCE

None
None


No

1
IC Title Form No. Form Name
MEDICAL QUALITY ASSURANCE ASSESSMENT

  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 725 602 0 123 0 0
Annual Time Burden (Hours) 1,450 1,204 0 246 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.
07/03/1990


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