OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Survey of Eligible Users of the National Practitioner Databank

OMB 0915-0366 · HHS/HSA.

OMB 0915-0366

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Users, Non-Users, Entities Respondents Form and Instruction
Form 2 Self-Query Survey Form and Instruction
Attachment 7 Who can query.docx Supplementary Document
Attachment 6 Glossary.docx Supplementary Document
Attachment 5 CQ report notification.docx Supplementary Document
Attachment 4 Report notification.docx Supplementary Document
Attachment 3 Insight article.docx Supplementary Document
Attachment 2 Research questions.docx Supplementary Document
Attachment 1 Overview of the NPDB.docx Supplementary Document
Supporting Statement B.docx Supporting Statement B
FINAL USE THIS VERSION - Supporting Statment A.docx Supporting Statement A
Users, Non-Users, Entities Respondents Form and Instruction
Self-Query Survey Form and Instruction

All Historical Document Collections

202102-0915-002 Approved without change	Reinstatement with change of a previously approved collection	2021-02-11
201307-0915-003 Approved without change	New collection (Request for a new OMB Control Number)	2013-07-11