Post-intervention survey of clinicians and staff

Health Care Systems for Tracking Colorectal Cancer Screening Tests

OMB: 0935-0146

IC ID: 185943

Information Collection (IC) Details

View Information Collection (IC)

Post-intervention survey of clinicians and staff
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #10 Post-intervention survey of clinicians and staff Attachment C4 -- A survey of all clinicians and staff at each practice.doc No No Paper Only

Health Consumer Health and Safety

 

20 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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