One Time Query for an Organization

National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Regulations and Forms

OMB: 0915-0126

IC ID: 206497

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

One Time Query for an Organization
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 18 One Time Query for an Organization 18.One Time Query for an Organization.pdf Yes Yes Fillable Fileable

Health Immunization Management

 

18,892 0
   
State, Local, and Tribal Governments
 
   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 18,892 0 0 0 0 18,892
Annual IC Time Burden (Hours) 1,511 0 0 0 0 1,511
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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