Information Collection

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

IC 37876 under ICR 200511-0935-001 · OMB 0935-0116.

Documents and Forms

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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:

table that charts list of 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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	417	0	417
Annual IC Time Burden (Hours)	343	0	343
Annual IC Cost Burden (Dollars)	0	-14,740,000	14,740,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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