Physician

Survey of Primary Care Physicians on Oral Health

OMB: 0990-0403

IC ID: 203029

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Physician
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-Oral Health_Attachment 8 Physicians Oral Health Survey.docx No No Printable Only

Health Illness Prevention

 

600 0
   
Private Sector Businesses or other for-profits
 
   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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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