Survey of Physicians Granted Exchange Visitor Waivers

ICR 199608-0915-002

OMB: 0915-0209

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
6437
Migrated
ICR Details
0915-0209 199608-0915-002
Historical Active
HHS/HSA
Survey of Physicians Granted Exchange Visitor Waivers
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/16/1996
Retrieve Notice of Action (NOA) 08/21/1996
  Inventory as of this Action Requested Previously Approved
04/30/1997 04/30/1997
1,240 0 0
413 0 0
0 0 0

This is a survey of exchange visitor physicians granted waivers to the 2-year return home requirement. This survey will obtain information concerning practice characteristics and location of physicians granted waivers during the years 1983-1992 to evaluate the waiver program.

None
None


No

1
IC Title Form No. Form Name
Survey of Physicians Granted Exchange Visitor Waivers

  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 1,240 0 0 1,240 0 0
Annual Time Burden (Hours) 413 0 0 413 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
08/21/1996


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