Request for Secretarial Review

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

OMB: 0915-0126

IC ID: 206502

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Request for Secretarial Review
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 23 Dispute Resolution Request for Dispute Resolution (diff from previous).png Yes Yes Fillable Fileable

Health Immunization Management

 

83 83
   
Individuals or Households
 
   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 83 0 0 0 0 83
Annual IC Time Burden (Hours) 664 0 0 0 0 664
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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