Needs Assessment of Primary Care Practice-Based Research Networks (PBRNs)

ICR 200303-0935-001

OMB: 0935-0116

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0935-0116 200303-0935-001
Historical Active
HHS/AHRQ
Needs Assessment of Primary Care Practice-Based Research Networks (PBRNs)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/12/2003
Retrieve Notice of Action (NOA) 03/12/2003
This survey package (including the enclosed terrorism preparedness questions) is approved for use through 5/2006 under the condition that AHRQ amends the new question 35 to address "the identification, diagnosis, and treatment" of the terrorism-related diseases/conditions...
  Inventory as of this Action Requested Previously Approved
05/31/2006 05/31/2006
417 0 0
343 0 0
14,740,000 0 0

This data is being collected from the AHRQ/RWJH Practice-Based Research Networks and a sample of their practices. The data will assist the PBRN Resource Center's provision of support to the PBRN program.

None
None


No

1
IC Title Form No. Form Name
Needs Assessment of Primary Care Practice-Based Research Networks (PBRNs)

  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 417 0 0 417 0 0
Annual Time Burden (Hours) 343 0 0 343 0 0
Annual Cost Burden (Dollars) 14,740,000 0 0 14,740,000 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
03/12/2003


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