Evaluation of an Intervention to Increase Colorectal Cancer Screenig in Primary Care Clinics - Clincians

Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics

OMB: 0920-0769

IC ID: 182545

Information Collection (IC) Details

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Evaluation of an Intervention to Increase Colorectal Cancer Screenig in Primary Care Clinics - Clincians
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 4d Clinician Post-Intervention Survey.doc Yes No Printable Only

Health Illness Prevention

42 U.S.C. 241  71 FR 52334

140 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 140 0 0 0 0 140
Annual IC Time Burden (Hours) 70 0 0 0 0 70
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter Attachment 5 Post Clinician Survey Cover Letter.doc 10/03/2007
Post Card Reminder Attachment 6 Reminder Postcard Clinicians.doc 10/03/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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