Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening

Survey of Primary Care Physicians' Practices Regarding Prostate Cancer Screening

OMB: 0920-0746

IC ID: 179788

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

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Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening
 
No Modified
 
Voluntary
 
42 CFR 301

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening Attachment 4. Data Collection Instrument.doc No No Paper Only

Health Illness Prevention

 

2,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 5. Survey Cover Letters Attachment 5. Survey Cover Letters.doc 04/09/2007
Attachment 6. Signature Postcard Attachment 6. Signature Postcard.doc 04/09/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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