OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 264354 under ICR 202401-0915-004 · OMB 0915-0212.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Evaluation Survey of Eligible National Practitioner Data Bank Entity Users: Relevance of Information Collected via NPDB Query Forms
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Query Survey Intro-Instructions Query Survey Intro-Instructions - FINAL_For Clearance.docx Yes Yes Fillable Fileable
Form and Instruction 2 User Survey Questions - Query User Survey Questions - Query_FINAL_For Clearance.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

900 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 900 0 900 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Fast Track Memo_Infostatica_Request for Approval_Query Survey FINAL_For Clearance OMB Fast Track Memo_Infostatica_Request for Approval_Query Survey FINAL_For Clearance.docx 01/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.