Healthcare Providers - Pretest

Healthcare Provider Perception of Boxed Warning Information Survey

OMB: 0910-0890

IC ID: 242546

Documents and Forms
Document Name
Document Type
Other-Invitation
Other-Screener
Information Collection (IC) Details

View Information Collection (IC)

Healthcare Providers - Pretest
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Appendix B - Screener.docx Yes Yes Fillable Fileable
Other-Invitation Appendix A - Email Invitation.docx Yes Yes Printable Only

Health Health Care Services

 

84 0
   
Individuals or Households
 
   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 84 0 84 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy