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Federal forms, ICRs, and supporting documents

Information Collection

Primary Care Physician Outreach Project

IC 43641 under ICR 200607-0925-008 · OMB 0925-0574.

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Information Collection (IC) Details

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Primary Care Physician Outreach Project
 
No Migrated
 
Voluntary
 

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


    

4,473 0
   
Individuals or Households
 
   25 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,118 0 1,118 0 0 0
Annual IC Time Burden (Hours) 872 0 872 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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