Clinic Recruitment

Assessment and Evaluation of the Role of Care Coordination (Case Management) in Improving Access and Care within the Spina Bifida Clinic System

OMB: 0920-0759

IC ID: 181191

Information Collection (IC) Details

View Information Collection (IC)

Clinic Recruitment
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Clinic Recruitment Script Attachment C11-Clinic Recruitment Script.doc No No Paper Only

Health Health Care Services

 

14 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 14 0 14 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Clinic Recruitment Letter and Brochure Attachment C9-C10--Clinic Recruitment Letter & Brochure.doc 06/17/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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