Information Collection Request

Quantitative Survey of Physician Practices in Laboratory Test Ordering and Interpretation

ICR 201105-0920-011 · OMB 0920-0893 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Survey of Physician Practices in Laboratory Test Ordering and Interpretation Form New Available
Sample CDC Questionnaire 7-21-11.pdf Supplementary Document Uploaded 2011-07-25 Available
Survey Physician Practices_Screenshots.pdf Supplementary Document Uploaded 2011-07-06 Available
Supporting Statement B.docx Supporting Statement B Uploaded 2011-07-25 Available
Attachment G IRB Exemption.docx Supplementary Document Uploaded 2011-05-16 Repair queued
Attachment B 60-day Federal Register Notice.pdf Supplementary Document Uploaded 2011-05-09 Available
ATTACH~1.PDF Supplementary Document Uploaded 2011-05-09 Available
Attachment E Email invite.docx Supplementary Document Uploaded 2011-05-09 Available
Attachment D Advance letter.doc Supplementary Document Uploaded 2011-05-09 Repair queued
Supporting Statement A.docx Supporting Statement A Uploaded 2011-07-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
197773 Survey of Physician Practices in Laboratory Test Ordering and Interpretation Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2012 12 Months From Approved
1,600 0 0
373 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Survey of Physician Practices in Laboratory Test Ordering and Interpretation none Survey of Physician Practices in Laboratory Test Ordering and Interpretation

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,600 0 0 1,600 0 0
Annual Time Burden (Hours) 373 0 0 373 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No