OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Physicians

IC 208565 under ICR 201609-0925-002 · OMB 0925-0683.

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

View Information Collection (IC)

Physicians
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 PRE AND POST SURVEYS Attachment 2_Pre and Post Surveys_Screenshots.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

150 0
   
Individuals or Households
 
   0 %

  Requested 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 0 0 -300 0 0 300
Annual IC Time Burden (Hours) 0 0 -100 0 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 1_Pre and Post Surveys_Word Version Attachment 1_Pre and Post Surveys_Word Version.doc 08/29/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.