OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Quantitative Survey of Physician Practices in Laboratory Test Ordering and Interpretation

ICR 201110-0920-009 · OMB 0920-0893 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Survey of Physician Practices in Laboratory Test Ordering and Interpretation Form Modified Available
Web_Modifications_Crosswalk_17OCT11.docx Supplementary Document Uploaded 2011-10-17 Available
Justification of Changes to Survey Instrument submitted OMB 10-4-2011.docx Justification for No Material/Nonsubstantive Change Uploaded 2011-10-17 Available
Attachment E Email invite.docx Supplementary Document Uploaded 2011-05-09 Repair queued
Attachment D Advance letter.doc Supplementary Document Uploaded 2011-05-09 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
197773 Survey of Physician Practices in Laboratory Test Ordering and Interpretation Form Modified
ICR Details
0920-0893 201110-0920-009
Historical Active 201105-0920-011
HHS/CDC
Quantitative Survey of Physician Practices in Laboratory Test Ordering and Interpretation
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/19/2011
Retrieve Notice of Action (NOA) 10/19/2011
Previous terms continue: This collection is approved for 12 months, with the understanding that the first screen of the electronic survey instrument will include the full PRA statement with an estimate of the time burden.
  Inventory as of this Action Requested Previously Approved
07/31/2012 07/31/2012 07/31/2012
1,600 0 1,600
373 0 373
0 0 0
This request is to make minor modifications to some questions on the survey based on feedback from the pilot testing.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
Yes
1
IC Title Form No. Form Name
Survey of Physician Practices in Laboratory Test Ordering and Interpretation none Survey of Physician Practices
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,600 1,600 0 0 0 0
Annual Time Burden (Hours) 373 373 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$4,650
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Daniel Holcomb 770 488-4472 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/19/2011