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Assessment of a Pharmacist-Led Transition of Care Service Utilizing an Admissions Enhanced, Patient Risk Evaluation Approach: the ICARE Program CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument: Consent Form Yes Yes Fillable Fileable
Other-Survey Instrument: Pre-implementation Provider Perception and Demand Survey Yes Yes Fillable Fileable
Other-Survey Instrument: 12- and 18-month Provider Survey Yes Yes Fillable Fileable
Other-Other: Signed IRB Approval No   Printable Only

Health Health Care Services

 

150 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) 37 0 37 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0847 OMB Approval Memo - Assessment of a Pharmacist-Led Transitions of Care Services Utilizing an Admissions Enhanced Patient Risk Evaluation Approach: the ICARE Program 02/10/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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