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 Pharmacies questionnaire Attachment 112 -- MPC Pharmacies Questionnaire.doc 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 Attachment 113 -- MPC Pharmacy Contact Guide.doc 08/24/2009
Attachment 114 -- MPC Pharmacy Cover Letter Attachment 114 -- MPC Pharmacy Cover Letter.doc 08/24/2009
Attachment 115 -- MPC Pharmacy Instructions & Customer List - FAX Version Attachment 115 -- MPC Pharmacy Instructions & Customer List - FAX Version.doc 08/24/2009
Attachment 116 -- MPC Pharmacy Instructions & Customer List - Phone Version Attachment 116 -- MPC Pharmacy Instructions & Customer List - Phone Version.doc 08/24/2009
Attachment 117 -- MPC Pharmacy FAQs BROCHURE Attachment 117 -- MPC Pharmacy FAQs BROCHURE.doc 08/24/2009
Attachment 118 -- MPC Pharmacy Fax Cover Sheet Attachment 118 -- MPC Pharmacy Fax Cover Sheet.doc 08/24/2009
Attachment 119 -- MPC Pharmacy Fax or Mail Return Form Attachment 119 -- MPC Pharmacy Fax or Mail Return Form.doc 08/24/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.