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

View Information Collection (IC)

EHR Pharmacy Residence Informaticists Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OMB 0917-0036-0031 https://www.surveymonkey.com/s/TF2BXL3 Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

17 0
   
Individuals or Households
 
   100 %

  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 34 0 34 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB No. 0917-0036-0031, Mini-Supporting Statemen forEHR Pharmacy Resident Informaticist Rotation Survey 03/04/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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