(EGAPP) - Health Care Providers (att D1)

Evaluation of Genomic Applications in Practice and Prevention (EGAPP)

OMB: 0920-0751

IC ID: 179073

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(EGAPP) - Health Care Providers (att D1)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction No number Healthcare provider survey Healthcare Provider Survey Revised 2-6-09.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,740 0
   
Individuals or Households
 
   95 %

  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 1,740 0 0 0 0 1,740
Annual IC Time Burden (Hours) 232 0 -58 0 0 290
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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