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Patient And Physician Surveys Related To The Secondary And Tertiary Prevention Of Stroke: Patient Outcome Research Team (port)
PATIENT AND PHYSICIAN SURVEYS RELATED TO THE SECONDARY AND TERTIARY PREVENTION OF STROKE: PATIENT OUTCOME RESEARCH TEAM (PORT)
OMB: 0935-0086
IC ID: 112153
OMB.report
HHS/AHRQ
OMB 0935-0086
ICR 199401-0935-001
IC 112153
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PATIENT AND PHYSICIAN SURVEYS RELATED TO THE SECONDARY AND TERTIARY PREVENTION OF STROKE: PATIENT OUTCOME RESEARCH TEAM (PORT)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,052
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
3,052
0
0
0
0
3,052
Annual IC Time Burden (Hours)
1,183
0
0
0
0
1,183
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.