Evaluating the Effectiveness of Quick Response Codes in Educating Panel Physicians

Data Collection for Evaluation of Education, Communication, and Training Activities

OMB: 0920-0932

IC ID: 207440

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-In-Depth Interview Guide
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Evaluating the Effectiveness of Quick Response Codes in Educating Panel Physicians
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Statement of Consent for Pre-Knowledge Aptitude Survey Attachment A(1)--Screen Shot of Web-Based Pre-Knowledge Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Statement of Consent for Semi-Structured Aptitude Questionnaire Attachment A(2)--Screen Shot of Web-Based Semi-Structured Questionnaire.docx Yes Yes Fillable Fileable
Other-In-Depth Interview Guide Attachment A(3)--In-Depth Interview Guide rev.docx Yes No Paper Only

Health Consumer Health and Safety

Records of Health Professionals in Disease Prevention and Control Training Programs   51 FR 42485

210 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 210 0 0 0 0 0
Annual IC Time Burden (Hours) 71 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ECT Supporting Statement A_QR codes 06112013 ECT Supporting Statement A_QR codes 06112013.docx 06/11/2013
ECT Supporting Statement B_QR codes 06112013 ECT Supporting Statement B_QR codes 06112013.docx 06/11/2013
Attachment B--IRB Determination Attachment B--IRB Determination.docx 06/11/2013
Attachment C(1)13_237881-A PhysicPanelTool Attachment C(1)13_237881-A PhysicPanelTool.1.pdf 06/11/2013
Attachment C(2) 237881-B PhysicansPanelTool2 Attachment C(2) 237881-B PhysicansPanelTool2.pdf 06/11/2013
Attachment C(3)237881-C PhysicansPanelTool3 Attachment C(3)237881-C PhysicansPanelTool3.pdf 06/11/2013
Attachment C(4)237881-D PhysicansPanTool4 Attachment C(4)237881-D PhysicansPanTool4.pdf 06/11/2013
Attachment C(5)237881-E PhysicansPanTool5 Attachment C(5)237881-E PhysicansPanTool5.pdf 06/11/2013
Attachment C(6)13_237881-F PhysicPanelTool6 Attachment C(6)13_237881-F PhysicPanelTool6.1_DS.pdf 06/11/2013
Attachment C(7)13_237881-F PhysicPanelTool6 Attachment C(7)13_237881-F PhysicPanelTool6.2_DS2.pdf 06/11/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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