OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

OBGYN Guided Brief Intervention Satisfactory Survey (previously OBGYN Avatar Training Satisfaction Survey)

IC 220396 under ICR 202102-0920-003 · OMB 0920-1129.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

OBGYN Guided Brief Intervention Satisfactory Survey (previously OBGYN Avatar Training Satisfaction Survey) 0920-1129 17AUR
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1129 OBGYN Guided Brief Intervention Satisfaction Survey OBGYN Avatar Satisfaction Survey (Guided Brief Intervention Survey)_Scre....pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

120 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 0 0 0 -120 120 0
Annual IC Time Burden (Hours) 0 0 0 -6 6 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OBGYN Avatar Training Survey - word H5 OBGYN Avatar Training Satisfaction Survey.docx 03/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.