Information Collection

B Reader for Physician

IC 274684 under ICR 202501-0920-010 · OMB 0920-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0020 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-24IK B Reader for Physician Form
0920-24IK Physicians reporting outcomes of B Reader Examinations Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations.pdf Form
0920-24IK Physicians reporting outcomes of B Reader Examinations Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	B Reader for Physician	Agency IC Tracking Number:	0920-0020-24IK

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-24IK	Physicians reporting outcomes of B Reader Examinations	Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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