OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Nurses (Pediatric Palliative Care Campaign Pilot Survey)

IC 206302 under ICR 201303-0925-005 · OMB 0925-0672.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Nurses (Pediatric Palliative Care Campaign Pilot Survey)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Pediatric Palliative Care Campaign Pilot Survey Attachment 2_Survey Screenshots.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

25 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 25 0 25 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 1_Survey Word Version Attachment 1_Survey Word Version.doc 03/13/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.