Data Submission Emails

Pharmacy Survey on Patient Safety Culture Database

OMB: 0935-0218

IC ID: 211073

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Data Submission Emails
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment D - Pharmacy Data Submission Emails_updated 6-13-17_clean.docx Yes Yes Printable Only

Health Health Care Services

 

100 0
   
Private Sector 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 100 0 -50 0 0 150
Annual IC Time Burden (Hours) 100 0 -50 0 0 150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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