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Promotion in Electronic Health Records: Healthcare Provider Interviews CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A - Recruitment Materials Attachment A_HCP EHR Recruitment Materials (1-22-24).docx Yes Yes Printable Only
Other-Attachment B - Screener Attachment B_HCP EHR Screener (1-22-24).docx Yes No Printable Only
Other-Attachment C- Consent Form Attachment C_HCP EHR Consent Form (1-22-24).docx Yes Yes Fillable Fileable
Other-Attachment D - Interview Guide Attachment D_HCP EHR Interview Guide (1-22-24).docx Yes No Printable Only
Other-Stimuli Mock-ups Attachment E_EHR Stimuli ISM 01.22.2024.pdf Yes No Printable Only

Health Consumer Health and Safety

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 52 0 52 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo/ Abbreviated Supporting Statement 0847 OMB Memo_EHR Study 2024 (1-23-24).docx 01/23/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.