Information Collection

National Practitioner Data Bank (NPDB) Usability Surveys

IC 242595 under ICR 202012-0915-001 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Practitioner Data Bank (NPDB) Usability Surveys	Form and Instruction
1 National Practitioner Data Bank (NPDB) Usability Surveys UsabiltyTesting_NPDBSystem.docx	Form and Instruction
2020 DPDB Usability Study Supporting Statement.docx Supporting Statement A	IC Document

IC Title:

National Practitioner Data Bank (NPDB) Usability Surveys

Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	1	National Practitioner Data Bank (NPDB) Usability Surveys	UsabiltyTesting_NPDBSystem.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	2020 DPDB Usability Study Supporting Statement.docx	07/07/2020

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