ED Physician Post-implementation Questionnaire

Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery

OMB: 0935-0185

IC ID: 198170

Information Collection (IC) Details

View Information Collection (IC)

ED Physician Post-implementation Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #6 ED Physician Post-implementation Questionnaire Attachment G -- ED Provider Post-Implementation Questionnaire.doc Yes Yes Fillable Fileable

Health Immunization Management

 

1 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 8 0 8 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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