Information Collection

Physicians' Experience of Ethical Dilemmas and Resource Allocation

IC 7452 under ICR 200707-0925-002 · OMB 0925-0528.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Physicians' Experience of Ethical Dilemmas and Resource Allocation	Form and Instruction
1 Survey Appendix 1 - US SUrvey.rtf	Form and Instruction
02-CC-0247 CR Approval.pdf 02-CC-0247 CR Approval	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	1	Survey	Appendix 1 - US SUrvey.rtf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	184	184
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
02-CC-0247 CR Approval	02-CC-0247 CR Approval.pdf	07/24/2007

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