OMAR QUICK LAUNCH PHYSICIAN PRACTICE SURVEY

ICR 199411-0925-001

OMB: 0925-0367

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
111700
Migrated
ICR Details
0925-0367 199411-0925-001
Historical Active 199110-0925-002
HHS/NIH
OMAR QUICK LAUNCH PHYSICIAN PRACTICE SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 02/10/1995
Retrieve Notice of Action (NOA) 11/25/1994
  Inventory as of this Action Requested Previously Approved
02/28/1997 02/28/1997 02/28/1995
1 0 1
1 0 1
0 0 0

THE OFFICE OF MEDICAL APPLICATION OF RESEARCH (OMAR) WILL CONDUCT SURVEYS OF PHYSICIANS TO EVALUATE CHANGES IN THEIR PRACTICE BEHAVIOR RELATED TO BIOMEDICAL TECHNOLOGIES AND PRACTICES THAT ARE ASSESSED IN CONSENSUS DEVELOPMENT CONFERENCE (CDC). PHYSICIANS WILL BE SURVEYED A THREE TIMES--1 YEAR BEFORE, JUST BEFORE, AND 1 YEAR FOLLOWING A CDC.

None
None


No

1
IC Title Form No. Form Name
OMAR QUICK LAUNCH PHYSICIAN PRACTICE SURVEY

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
11/25/1994


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