OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Clinician survey

IC 241465 under ICR 202107-0935-004 · OMB 0935-0253.

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

View Information Collection (IC)

Clinician survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Post-training survey to assess experiences with SHARE training: Clinician Post-survey_Clean_3.18.2020.docx No   Fillable Fileable
Form and Instruction 3 Pre-training clinician survey to assess prior experience with SDM Clinician Pre-survey_Clean_3.18.2020.docx No   Fillable Fileable
Form and Instruction 3 Clinician survey to assess use of SHARE two months following training Clinician Pre-survey_Clean_3.18.2020.docx No   Fillable Fileable

Health Health Care Services

 

100 0
   
Private Sector Businesses or other for-profits
 
   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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 33 0 0 0 0 33
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.