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Evaluation Survey of Eligible National Practitioner Data Bank 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: 0906-0084
IC ID: 264354
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202402-0906-004
IC 264354
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0084 can be found here:
2024-06-28 - 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 Entity Users: Relevance of Information Collected via NPDB Query Forms
Form and Instruction
1 Query Survey Intro-Instructions
Query Survey Intro-Instructions - FINAL_For Clearance.docx
Form and Instruction
2 User Survey Questions - Query
User Survey Questions - Query_FINAL_For Clearance.docx
Form and Instruction
OMB Fast Track Memo_Infostatica_Request for Approval_Query Survey FINAL_For Clearance.docx
OMB Fast Track Memo_Infostatica_Request for Approval_Query Survey FINAL_For Clearance
IC Document
Information Collection (IC) Details
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