Perioperative Medication Safety Self-Assessment for Hospitals and Ambulatory Surgical Centers and Targeted Risk-Reduction Tool Development (CDER)

Data To Support Social and Behavioral Research as Used by the Food and Drug Administration

OMB: 0910-0847

IC ID: 244834

Documents and Forms
Document Name
Document Type
Other-Survey Instrument
Other-Survey Instrument
Other-Screenshot Webpage
Other-Screenshot Webpage
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Perioperative Medication Safety Self-Assessment for Hospitals and Ambulatory Surgical Centers and Targeted Risk-Reduction Tool Development (CDER) CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument ISMP Medication Safety Self Assessment for Perioperative Settings.pdf Yes Yes Fillable Fileable
Other-Screenshot Webpage ISMP Screenshot Webpage.docx Yes Yes Printable Only

Health Health Care Services

 

1,500 0
   
Individuals or Households
 
   0 %

  Requested 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 1,500 0 0 0 0 1,500
Annual IC Time Burden (Hours) 11,171 0 0 0 0 11,171
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0847 OMB Approval Memo Perioperative Medication Safety Self Assessment 2020.docx 12/09/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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