Information Collection

Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms

IC 266022 under ICR 202306-0915-006 · OMB 0915-0379.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Adverse Action Reports Module Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms	Form and Instruction
Form 5 Closing Questions Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms	Form and Instruction
Form 4 Judgment or Conviction Reports Module Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms	Form and Instruction
Form 3 Medical Malpractice Payment Reports Module Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms	Form and Instruction
Form 1 Opening Questions Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms	Form and Instruction

Record metadata
IC Title	Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Report Forms