Respondents for Burden
Estimates in Completing
the Dental Services Report Form
Leeanna Bartlett (DRP)
Baylor College of Dentistry, TX A&M University Health Sciences Center
Tel: (214) 828-8452
Email: lbartlett@bcd.tamhsc.edu
Burden Est: 48 hours. It takes us awhile to pull all the data together. Anticipate no changes in burden due to new and deleted data items.
Dr. Paulo Camargo (DRP)
UCLA School of Dentistry
Tel: (310) 825-0928
Email: pcamargo@dentistry.ucla.edu
Burden Est: 42 hours. It usually takes us 40 hours and the additional 2 hours is due to the changes in the form.
Eli Eliav (CBDPP)
UMDNJ-New Jersey Dental School
Tel: (973) 972-7210
Email: eliavel@umdnj.edu
Burden Est: 1.5 hours
Comments: We
have systems in place so that reporting is quick and easy for us.
Anticipate no changes in burden due to new and deleted data items.
Theresa G. Mayfield, D.M.D. (CBDPP)
University of Louisville School of Dentistry Community-Based Dental Partnership Program
Tel: (502) 852-5128
Email: theresa.mayfield@louisville.edu
Burden Est: 80 hours
Comments: We do not collect any of the data necessary to fill out the DSR (eg. cd4 count to determine HIV status, ethnicity, etc.) so we have to reach out to multiple other service providers to gather that information for the report. Addition of the new ethnicity/race/sex would increase the burden, and that the narrative question deletions would not have an impact on the time because they are easy to fill out.
Dr. Larry Salzmann (CBDPP)
The Board of Trustees of the University of Illinois
Tel: (312) 996-6661
Email: lbs@uic.edu
Burden Est: 10 hours. Anticipate no changes in burden due to new and deleted data items.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | ifua |
| File Modified | 0000-00-00 |
| File Created | 2021-01-27 |