Rowan University School of Osteopathic Medicine (SOM)

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0990-0379

IC ID: 232576

Documents and Forms
Document Name
Document Type
Other-PRE Assessment
Other-Satisfaction Survey
Other-Satisfaction for Medical stude
Other-Post Assessment
Other-Assessment Medical Students
Other-Pre Assessment Residents
Other-Pre-Assessment Medical Student
Other-Qualtrics
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Rowan University School of Osteopathic Medicine (SOM)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-PRE Assessment Opioid Prescribing Presentation Pre Assessment_ Qualtrics_Medical Students_Final.docx.pdf No   Paper Only
Other-Satisfaction Survey Opioid Prescribing Presentation Satisfaction Survey_Residents.docx No   Paper Only
Other-Satisfaction for Medical students Opioid Prescribing Presentation Satisfaction Survey_Medical Students.docx No   Paper Only
Other-Post Assessment Opioid Prescribing Presentation Post Assessment_Residents.docx No   Paper Only
Other-Assessment Medical Students Opioid Prescribing Presentation Post Assessment_Medical Students.docx No   Fillable Printable
Other-Pre Assessment Residents Opioid Prescribing Presentation Pre Assessment_Residents.docx Pre -Assessment Residents No   Paper Only
Other-Pre-Assessment Medical Students Opioid Prescribing Presentation Pre Assessment_Medical Students.docx No   Paper Only
Other-Qualtrics Opioid Prescribing Presentation Pre Assessment_ Qualtrics_Medical Students_Final.docx.pdf No   Paper Only

Health Health Care Services

 

300 0
   
Individuals or Households
 
   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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS_A OMB_Clearance_Submission_Form_OWHPA - Rowan Univ. SOM.doc 08/07/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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