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

View Information Collection (IC)

Sepsis Campaign Development: Round 2 Concept/Materials Testing for Healthcare Providers 0920-17AGZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Yes Yes Fillable Fileable

Health Illness Prevention

 

462 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 462 0 462 0 0 0
Annual IC Time Burden (Hours) 56 0 56 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Project Description for Sepsis R2 Testing with HCP 06/05/2017
Justification for the Proposed Incentive 06/05/2017
Test Item C1. Visual with Slogan_A 06/05/2017
Test Item C2. Visual with Slogan_B 06/05/2017
Test Item C3. Visual with Slogan_C 06/05/2017
Test Item C4. Visual with Slogan_D 06/05/2017
Test Item C5. Visual with Slogan_E 06/05/2017
Test Item C6. Print Concept_A 06/05/2017
Test Item C7. Print Concept_B 06/05/2017
Test Item C8. Print Concept_C 06/05/2017
Test Item C9. Campaign Stimulus_TV Ads 06/05/2017
Test Item C10. Sepsis Flier for R2 Testing 06/05/2017
HMTS Form - Sepsus R2 Testing with HCP 06/05/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.