Information Collection

Formative Research with Clinicians for the Development of Quantitative Metrics to Improve Antibiotic Prescribing Behavior in the Outpatient Setting

IC 233456 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Focus Group Guide.docx	Other-WORD
Attachment B_Determination of non-human subject research.doc Att B_IRB Determination	IC Document
Attachment C_Recruitment Email.docx Att C_Recruitment Email	IC Document
Attachment D_Benchmark Presentation.pptx Att D_CHOP BAA Benchmark Presentation	IC Document
SS A_Formative Research with Clinicians for the Development of Quantitat...docx SSA	IC Document
SS B_Formative Research with Clinicians for the Development of Quantitat...docx SSB	IC Document
GenIC Rquest_CHOP BAA Metrics.docx Request for Approval	IC Document

IC Title:

Formative Research with Clinicians for the Development of Quantitative Metrics to Improve Antibiotic Prescribing Behavior in the Outpatient Setting

Agency IC Tracking Number:

0920-1154-18BCT

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Attachment A_Focus Group Guide.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att B_IRB Determination	Attachment B_Determination of non-human subject research.doc	10/09/2018
Att C_Recruitment Email	Attachment C_Recruitment Email.docx	10/09/2018
Att D_CHOP BAA Benchmark Presentation	Attachment D_Benchmark Presentation.pptx	10/09/2018
SSA	SS A_Formative Research with Clinicians for the Development of Quantitat...docx	10/09/2018
SSB	SS B_Formative Research with Clinicians for the Development of Quantitat...docx	10/09/2018
Request for Approval	GenIC Rquest_CHOP BAA Metrics.docx	10/09/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.