Information Collection

National Survey of Primary Care Policies for Managing Patients with High Blood Pressure, High Cholesterol, or Diabetes

IC 198726 under ICR 201108-0920-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Survey of Primary Care Policies for Managing Patients with High Blood Pressure, High Cholesterol, or Diabetes	Form
National Survey of Primary Care Policies Attachment 5a_NSPCP Survey 7-19-11.docx	Form
Attachment 5b_Invitation letter Draft 7-19-11.doc Att 5b - Invitation letter	IC Document
Attachment 5c_Reminder Letters.docx Att 5c - Reminder letters	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	National Survey of Primary Care Policies	Attachment 5a_NSPCP Survey 7-19-11.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 600

Number of Respondents for Small Entity: 300

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 5b - Invitation letter	Attachment 5b_Invitation letter Draft 7-19-11.doc	07/25/2011
Att 5c - Reminder letters	Attachment 5c_Reminder Letters.docx	07/25/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.