OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Practitioner Data Bank Usability Survey

IC 264355 under ICR 202401-0915-004 · OMB 0915-0212.

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

View Information Collection (IC)

National Practitioner Data Bank Usability Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 0915-0212_UsabiltyTesting Instrument_NPDBSystem 0915-0212_UsabiltyTesting Instrument_NPDBSystem.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

200 0
   
Individuals or Households
 
   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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Original Generic Request 0915-0212_Fast track Memo (Updated).docx 01/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.