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Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Query Forms
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 263816
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202312-0915-001
IC 263816
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
2024-01-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Evaluation Survey of Eligible National Practitioner Data Bank (NPDB) Entity Users: Relevance of Information Collected via NPDB Query Forms
Form and Instruction
1 User Survey Questions-Query FINAL For Clearance
User Survey Questions - Query_FINAL_For Clearance.docx
Form and Instruction
Query Survey Intro-Instructions - FINAL_For Clearance.docx
Query Survey Instructions
IC Document
OMB Fast Track Memo_Infostatica_Request for Approval_Query Survey FINAL_For Clearance.docx
OMB Fast Track Justification
IC Document
Introductory message from NPDB FINAL_For Clearance.docx
Introductory message from NPDB FINAL
IC Document
NonSubstantive Change Request.docx
Non Substantive Change Request
IC Document
Information Collection (IC) Details
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