NPDB HIPDB Users Group Querying Survey

National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank Market Survey and Survey of Use of Data Bank Information

Documents and Forms

Document Name Document Type
Form users group queryi NPDB HIPDB Users Group Querying Survey Form
users group queryi users group querying survey users group querying survey.doc Form

Information Collection (IC) Details

IC Title:	NPDB HIPDB Users Group Querying Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form	users group querying survey	users group querying survey	users group querying survey.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,870	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,870	2,870
Annual IC Time Burden (Hours)	718	718
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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