Structural Assessments – Cohort 4 (baseline)

The AHRQ Safety Program for Improving Antibiotic Use

OMB: 0935-0238

IC ID: 227701

Information Collection (IC) Details

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Structural Assessments – Cohort 4 (baseline)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction b1. Structural Assessments – Cohort 4 (baseline) Attachment B Structural Assessment for Ambulatory Care Setting Attachment B Structural Assessment for Ambulatory Care.1.docx Yes Yes Fillable Fileable

Health Health Care Services

 

167 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 334 0 167 0 0 167
Annual IC Time Burden (Hours) 67 0 34 0 0 33
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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