Provider Surveys

Comprehensive Communication Campaign for HITECH ACT

OMB: 0955-0005

IC ID: 206235

Information Collection (IC) Details

View Information Collection (IC)

Provider Surveys
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SURVEY 0955-0005 Survey among Primary Care Providers FINAL_REV1.docx No No Paper Only

Health Illness Prevention

 

4,400 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 4,400 0 0 0 0 0
Annual IC Time Burden (Hours) 433 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0955-0005_Generic IC HITECH Provider Survey Statement_REV2 0955-0005_Generic IC HITECH Provider Survey Statement_REV2.docx 03/22/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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