OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Primary Care Resident Physicians

IC 197527 under ICR 201111-0925-001 · OMB 0925-0635.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Primary Care Resident Physicians
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Survey 1 for Residents (Pre-Survey) 7 - Attachment B2-3 Survey 1 for Residents (Pre Survey) 2-28-11 sh.docx Yes Yes Fillable Printable
Form 1 Residents Post Survey Attachment B2-4 Survey 2 for Residents (Post Survey) 3-30-11 sh[1].docx Yes Yes Fillable Printable

Health Health Care Services

 

308 0
   
Individuals or Households
 
   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 616 0 0 0 0 616
Annual IC Time Burden (Hours) 105 0 0 0 0 105
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment A2 Email Invitation to Residents 3-30-11 sh Attachment A2 Email Invitation to Residents 3-30-11 sh.docx 04/26/2011
Attachment A13 End of Study Email Residents in Control Group 4-7-11sh Attachment A13 End of Study Email Residents in Control Group 4-7-11sh.docx 04/26/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.