Information Collection

National Practitioner Data Bank (NPDB) Usability Survey

IC 263052 under ICR 202308-0915-005 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Practitioner Data Bank (NPDB) Usability Survey National Practitioner Data Bank (NPDB) Usability Survey	Form and Instruction
1 National Practitioner Data Bank (NPDB) Usability Survey 0915-0212_UsabiltyTesting Instrument_NPDBSystem.docx	Form and Instruction
0915-0212_Fast track Memo (Updated).docx Fast Track Memo	IC Document

IC Title:

National Practitioner Data Bank (NPDB) Usability Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Memo		11/03/2023

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

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