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View Information Collection (IC)

View Information Collection (IC)

Assessment of Get Ahead of Sepsis Camplaign - Health Care Providers 0920-0572-20HM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

450 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 450 0 450 0 0 0
Annual IC Time Burden (Hours) 113 0 113 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Assessment overview 02/10/2020
Incentive justification 02/10/2020
Recruitment invitation 02/10/2020
Research determination 02/10/2020
Assessment materials 02/10/2020
Pretest - screenshots 02/12/2020
Posttest- screenshots 02/12/2020
genIC Review form 02/12/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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