Information Collection

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

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

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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	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

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