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Attachment E: PC CDS Learning Network –Steering Committee
Patient-Centered Outcomes Research Clinical Decision Support: Current State and Future Directions
OMB: 0935-0256
IC ID: 242362
OMB.report
HHS/AHRQ
OMB 0935-0256
ICR 202006-0935-003
IC 242362
( )
Documents and Forms
Document Name
Document Type
Form 2
Attachment E: PC CDS Learning Network –Steering Committee
Form and Instruction
2 Attachment E: PC CDS Learning Network –Steering Committe
Attachment E - PC CDS Learning Network - Steering Committee.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Attachment E: PC CDS Learning Network –Steering Committee
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
2
Attachment E: PC CDS Learning Network –Steering Committee
Attachment E - PC CDS Learning Network - Steering Committee.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3
0
3
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.