Deferred Conviction or Pre-Trial Diversion

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

OMB: 0915-0126

IC ID: 206489

Information Collection (IC) Details

View Information Collection (IC)

Deferred Conviction or Pre-Trial Diversion
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10 Deferred Conviction or Pre-Trial Diversion 10 DeferredConviction_IndivAndOrgReport.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

50 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 38 0 0 0 0 38
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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