OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Physician

IC 186437 under ICR 201203-0990-002 · OMB 0990-0335.

Documents and Forms
Document Name
Document Type
Other-TELEPHONE SCRIPTS
Other-QUESTIONNAIRE
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Physician
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-TELEPHONE SCRIPTS 0990-0335_Attachment J-4_followUpPhone.doc No No Paper Only
Other-QUESTIONNAIRE 0990-0335_Attachment M_Physician Booklet.doc No No Paper Only

Health Public Health Monitoring

 

340 0
   
Individuals or Households
 
   0 %

  Requested 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 340 0 0 -20 0 360
Annual IC Time Burden (Hours) 85 0 0 1 0 84
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0990-0335_Attachment J-1_PreNotLetter 0990-0335_Attachment J-1_PreNotLetter.doc 03/28/2012
0990-0335_Attachment J-2_CoverLetQuest 0990-0335_Attachment J-2_CoverLetQuest.doc 03/28/2012
0990-0335_Attachment J-3_followUpLet 0990-0335_Attachment J-3_followUpLet.doc 03/28/2012
0990-0335_Attachment K_FAQ 0990-0335_Attachment K_FAQ.doc 03/28/2012
0990-0335_Attachment N_Summary of Revisions 0990-0335_Attachment N_Summary of Revisions.doc 03/28/2012
0990-0335_Attachment L_PowerPrecision 0990-0335_Attachment L_PowerPrecision.doc 03/28/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.