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Federal forms, ICRs, and supporting documents

Information Collection

Chiropractic and Pharmacy Loan Repayment- Survey of Chiropractic Doctors and Pharmacists

IC 178407 under ICR 200701-0915-004 · OMB 0915-0306.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
Information Collection (IC) Details

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Chiropractic and Pharmacy Loan Repayment- Survey of Chiropractic Doctors and Pharmacists
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Survey of Chiro Doctors Survey of Chiro Doctors Tab D- Chiropractor Survey Tele.doc No No Paper Only
Form Survey of Pharmacists Survey of Pharmacists Tab D- Pharmacist Survey.doc No No Paper Only

Health Public Health Monitoring

 

30 0
   
Individuals or Households
 
   100 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 15 0 15 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter- Chiro and Pharmacists Appendix D Cover Letter.doc 08/02/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.