OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank Market Survey and Survey of Use of Data Bank Information

OMB 0915-0316 · HHS/HSA.

OMB 0915-0316

Latest Forms, Documents, and Supporting Material

Document Name
Form non user survey NPDB HIPDB Non User Survey Form
Form matched response Matched Response Survey Form
Form users group queryi NPDB HIPDB Users Group Querying Survey Form
Form users group report NPDB HIPDB Users Group Reporting Survey Form
revised partb ss npdb eval b[1].doc Supporting Statement B
NPDB PART details.doc Supplementary Document
npdb eval letter.doc Supplementary Document
Databank PART.xls Supplementary Document
revised ss npdb eval[1].doc Supporting Statement A
NPDB HIPDB Non User Survey Form
Matched Response Survey Form
NPDB HIPDB Users Group Querying Survey Form
NPDB HIPDB Users Group Reporting Survey Form

All Historical Document Collections

200711-0915-001

Approved with change

New collection (Request for a new OMB Control Number)

2007-11-01