Survey

Validated Interview and Survey of Outpatient Providers on Antibiotic Stewardship Interventions

OMB: 0920-1308

IC ID: 242164

Information Collection (IC) Details

View Information Collection (IC)

Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey SSA Attachment 3 Appendix 2 Instrument 27Apr2020.docx Yes Yes Fillable Fileable
Form 0920-1308 Validated Survey Instrument SSA Attachment 3 Appendix 2 Instrument 08Oct21 Clean.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

250 0
   
Private Sector Not-for-profit institutions
 
   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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 83 0 -84 0 0 167
Annual IC Cost Burden (Dollars) 12,095 0 0 0 0 12,095

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

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