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Federal forms, ICRs, and supporting documents

Information Collection

Division of Practitioner Data Bank (DPDB) Webinar Feedback and Satisfaction Surveys

IC 267569 under ICR 202503-0906-002 · OMB 0906-0084.

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Form
Form
Form
IC Document
IC Document
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Information Collection (IC) Details

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Division of Practitioner Data Bank (DPDB) Webinar Feedback and Satisfaction Surveys
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Webinar Survey Questions Webinar Survey Questions for OMB ApprovalFinal.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,400 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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 200 0 0 0 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Memo Fast track Memo_Webinar QuestionsFinal.docx 05/09/2024
Public Burden Statement Public Burden Statement.docx 05/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.