Information Collection

Needs Assessment of Primary Care Practice-Based Research Networks (PBRNs)

IC 7720 under ICR 200303-0935-001 · OMB 0935-0116.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0116 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Needs Assessment of Primary Care Practice-Based Research Networks (PBRNs)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 833	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	417	417
Annual IC Time Burden (Hours)	343	343
Annual IC Cost Burden (Dollars)	14,740,000	14,740,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.