Information Collection Request

Survey of Eligible Users of the National Practitioner Databank

ICR 202102-0915-002 · OMB 0915-0366 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Users, Non-Users, Entities Respondents Form and Instruction Modified Missing upstream
Form 2 Self-Query Survey Form and Instruction Modified Repair queued
Attachment 7 Who can query.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Attachment 6 Glossary.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Attachment 5 CQ report notification.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Attachment 4 Report notification.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Attachment 3 Insight article.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Attachment 2 Research questions.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Attachment 1 Overview of the NPDB.docx Supplementary Document Uploaded 2021-02-11 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2021-02-11 Available
FINAL USE THIS VERSION - Supporting Statment A.docx Supporting Statement A Uploaded 2021-02-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
207742 Users, Non-Users, Entities Respondents Form and Instruction Modified
207741 Self-Query Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
17,000 0
3,950 0
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Self-Query Survey 2 Self Query Respondents survey screenshots.pdf
Users, Non-Users, Entities Respondents 1 Users Non-Users Entites survey screenshots.pdf

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17,000 0 0 17,000 0 0
Annual Time Burden (Hours) 3,950 0 0 3,950 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No