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Federal forms, ICRs, and supporting documents

Information Collection

Perioperative Medication Safety Self-Assessment for Hospitals and Ambulatory Surgical Centers and Targeted Risk-Reduction Tool Development (CDER)

IC 244834 under ICR 201910-0910-010 · OMB 0910-0847.

Documents and Forms
Document Name
Document Type
Other-Survey Instrument
Other-Screenshot Webpage
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Perioperative Medication Safety Self-Assessment for Hospitals and Ambulatory Surgical Centers and Targeted Risk-Reduction Tool Development (CDER) CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument ISMP Medication Safety Self Assessment for Perioperative Settings.pdf Yes Yes Fillable Fileable
Other-Screenshot Webpage ISMP Screenshot Webpage.docx Yes Yes Printable Only

Health Health Care Services

 

1,500 0
   
Individuals or Households
 
   0 %

  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 1,500 0 1,500 0 0 0
Annual IC Time Burden (Hours) 11,171 0 11,171 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0847 OMB Approval Memo Perioperative Medication Safety Self Assessment 2020.docx 12/09/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.