Information Collection

National Sample Survey of Nurse Practitioners

IC 200434 under ICR 201112-0915-002 · OMB 0915-0348.

Documents and Forms

Document Name Document Type
Form 1 National Sample Survey of Nurse Practitioners Form
1 NSSNP Questionnaire OMB NSSNP Questionnaire_FINAL_2.17.12.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Sample Survey of Nurse Practitioners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	NSSNP Questionnaire	OMB NSSNP Questionnaire_FINAL_2.17.12.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,300	14,300
Annual IC Time Burden (Hours)	4,719	4,719
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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