SUBMISSION OF INFORMATION COLLECTION
UNDER GENERIC CLEARANCES
DATE OF REQUEST: _March 17, 2010
SUB AGENCY (I/C): ___NCCAM____________
TITLE: ___NCCAM Health Professional Portal ________________
GENERIC CLEARANCE UNDER OMB# _0925-0530___ EXP. DATE: _10/31/2010_____
The NCCAM health professional portal page is a fundamental tool for providing complementary and alternative medical information to health care providers. A survey distributed to attendees of physician-focused meetings where NCCAM will be exhibiting would provide the necessary feedback to create the types of tools and content for the health professional portal page that is needed by this audience. The responses would allow NCCAM to gauge what topics and tools the health care providers are most interested in, construct optimal formats, and determine preferred delivery methods.
We will recruit up to 100 respondents at the American Pain Society 29th Annual Scientific Meeting, 2010 American Geriatric Society Annual Scientific Meeting, and the 2010 National Medical Association Annual Convention and Scientific Assembly The survey will be administered as a self-administered questionnaire at the NCCAM exhibit booth. No technology will be used to complete the survey. Completion will be voluntary with no payment and individual responses will be kept confidential. Findings will be used by NCCAM for program planning purposes and published or otherwise shared externally.
TOTAL ANNUAL BURDEN APPROVED: _712_________
BURDEN USED TO DATE: ___80_______
BURDEN THIS REQUEST: ___15______
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ___x___NO______N/A
OBLIGATION TO RESPOND:
__x____ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
_____ WEB SITE
_____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
____ IN PERSON INTERVIEW
__X___ OTHER: self-administered questionnaire_
CONTACT INFORMATION:
NAME: __ Alyssa Cotler _________________________________________
TELEPHONE NUMBER: _301-451-3851___________________________
EMAIL ADDRESS: _ cotlera@mail.nih.gov ________________________
| File Type | application/msword |
| File Title | Generic Clearance Form - 04/28/2008 |
| Subject | Generic Clearance Form - 04/28/2008 |
| Author | OD/USER |
| Last Modified By | cotlera |
| File Modified | 2010-03-17 |
| File Created | 2010-03-17 |