View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Pharmacies questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #12 Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

7,760 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved 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 180,808 0 180,808 0 0 0
Annual IC Time Burden (Hours) 9,040 0 9,040 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 113 -- MPC Pharmacy Contact Guide 08/24/2009
Attachment 114 -- MPC Pharmacy Cover Letter 08/24/2009
Attachment 115 -- MPC Pharmacy Instructions & Customer List - FAX Version 08/24/2009
Attachment 116 -- MPC Pharmacy Instructions & Customer List - Phone Version 08/24/2009
Attachment 117 -- MPC Pharmacy FAQs BROCHURE 08/24/2009
Attachment 118 -- MPC Pharmacy Fax Cover Sheet 08/24/2009
Attachment 119 -- MPC Pharmacy Fax or Mail Return Form 08/24/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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