Physician

Trends in U.S. Public's Awareness of Racial and Ethnic Heatlh Disparities (1999- 2008)

OMB: 0990-0335

IC ID: 186437

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Survey
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Physician
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey 0990-Trends in the USAttachment Q_Survey_Booklet.pdf No No Paper Only
Other-Questionnaire 0990-Trends in the USAttachment F-2_Physician Questionnaire.docm No No Paper Only

Health Public Health Monitoring

 

360 0
   
Individuals or Households
 
   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 360 0 360 0 0 0
Annual IC Time Burden (Hours) 84 0 84 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-Trends in the USAttachment A_PlanMeasure 0990-Trends in the USAttachment A_PlanMeasure.docm 08/08/2008
0990-Trends in the USAttachment E-2_Crosswalk of Revisions_physician population 0990-Trends in the USAttachment E-2_Crosswalk of Revisions_physician population.docm 08/08/2008
0990-Trends in the USAttachment H_PilotTestReport 0990-Trends in the USAttachment H_PilotTestReport.docm 08/08/2008
0990-Trends in the USAttachment J_1999ItemsEXCLUDED 0990-Trends in the USAttachment J_1999ItemsEXCLUDED.docm 08/08/2008
0990-Trends in USAttachment K_InterviewScripts 0990-Trends in USAttachment K_InterviewScripts.docm 08/08/2008
0990-Trends in the USAttachment M-1_PreNotLetter 0990-Trends in the USAttachment M-1_PreNotLetter.docm 08/08/2008
0990-Trends in the USAttachment M-2_CoverLetQuest 0990-Trends in the USAttachment M-2_CoverLetQuest.docm 08/08/2008
0990-Trends in the USAttachment M-3_followUpLet 0990-Trends in the USAttachment M-3_followUpLet.docm 08/08/2008
0990-Trends in the USAttachment M-4_followUpPhone 0990-Trends in the USAttachment M-4_followUpPhone.docm 08/08/2008
0990-Trends in the USAttachment P-2 _NewItems_PhysicianPop 0990-Trends in the USAttachment P-2 _NewItems_PhysicianPop.docm 08/08/2008
0990-Trends in the USAttachment R_Summary of Revisions 0990-Trends in the USAttachment R_Summary of Revisions.docm 08/08/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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