Sample records for request form clinical

  1. What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support

    PubMed Central

    Hanauer, David A; Hruby, Gregory W.; Fort, Daniel G.; Rasmussen, Luke V.; Mendonça, Eneida A.; Weng, Chunhua

    2014-01-01

    Many academic medical centers have aggregated data from multiple clinical systems into centralized repositories. These repositories can then be queried by skilled data analysts who act as intermediaries between the data stores and the research teams. To obtain data, researchers are often expected to complete a data request form. Such forms are meant to support record-keeping and, most importantly, provide a means for conveying complex data needs in a clear and understandable manner. Yet little is known about how data request forms are constructed and how effective they are likely to be. We conducted a content analysis of ten data request forms from CTSA-supported institutions. We found that most of the forms over-emphasized the collection of metadata that were not considered germane to the actual data needs. Based on our findings, we provide recommendations to improve the quality of data request forms in support of clinical and translational research. PMID:25954367

  2. An audit of request forms submitted in a multidisciplinary diagnostic center in Lagos.

    PubMed

    Oyedeji, Olufemi Abiola; Ogbenna, Abiola Ann; Iwuala, Sandra Omozehio

    2015-01-01

    Request forms are important means of communication between physicians and diagnostic service providers. Pre-analytical errors account for over two thirds of errors encountered in diagnostic service provision. The importance of adequate completion of request forms is usually underestimated by physicians which may result in medical errors or delay in instituting appropriate treatment. The aim of this study was to audit the level of completion of request forms presented at a multidisciplinary diagnostic center. A review of all requests forms for investigations which included radiologic, laboratory and cardiac investigations received between July and December 2011 was performed to assess their level of completeness. The data was entered into a spreadsheet and analyzed. Only 1.3% of the 7,841 request forms reviewed were fully completed. Patient's names, the referring physician's name and gender were the most completed information on the forms evaluated with 99.0%, 99.0% and 90.3% completion respectively. Patient's age was provided in 68.0%, request date in 88.2%, and clinical notes/ diagnosis in 65.9% of the requests. Patient's full address was provided in only 5.6% of requests evaluated. This study shows that investigation request forms are inadequately filled by physicians in our environment. Continuous medical education of physicians on the need for adequate completion of request forms is needed.

  3. Evaluation of request forms submitted to the haematology laboratory in a Ghanaian tertiary hospital.

    PubMed

    Olayemi, Edeghonghon; Asiamah-Broni, Rebecca

    2011-01-01

    Laboratory request forms provide information about the laboratory test being requested for. They carry demographic data and other information such as location of patient, laboratory number, doctor's name, signature of the doctor, telephone number of the requesting doctor. Omission of information on the forms may lead to laboratory errors. The aim of this study was to evaluate the level of completion of laboratory request forms at the haematology department of a Ghanaian tertiary hospital. Three thousand request forms submitted to the haematology department between January and April 2010 were retrieved and studied. The information provided on each request form was recorded in a spread sheet and analyzed. The patient's age and sex were missing in 25.6% and 32.7% of the forms respectively. About half of the request forms did not have the patient's location. No clinical detail was provided on 22.7% of the forms. Doctors were more likely to sign their request forms and provide a name but they all failed to provide an address or a contact telephone number. This study demonstrates that, the standard of completion of request forms was poor. Essential information required on the forms was often missing. This can lead to limited advice given by laboratory physicians and may increase the potential for errors. Conversely, provision of all the information needed on the forms will aid laboratory diagnosis and enhance patient care and save time and resources. There should be closer interaction between clinicians and laboratory personnel to improve quality of services.

  4. An audit of the completion of radiology request forms and the request practice

    PubMed Central

    Akintomide, Akintunde O.; Ikpeme, Anthonia A.; Ngaji, Affiong I.; Ani, Nchiewe E.; Udofia, Appolline T.

    2015-01-01

    Objective: To assess the degree of utilization of the radiology request form (RRF), the extent of completion each form, the frequency of filling the fields in all the forms, and its effectiveness as a communication tool between the referring clinicians and radiologists. Materials and Methods: All the RRFs for conventional radiographic examinations were audited over a 3-month period. A database containing all the fields in the form, type of request paper used, and legibility of the physician's handwriting was created. A few resident radiologists in the plain film reporting unit were recruited to join in collecting the data daily. We used simple statistical methods to analyze the extent of completion of each form, frequency of completion of the fields in all the request forms, frequency of use of the appropriate form, and frequency of legibility of the physician's handwriting. The results are expressed in percentages. Results: Five hundred eighty (580) requests were analyzed, consisting of 180 for males and 400 for females. The most-completed request form was 86.67% filled, while the least-completed was 26.67%. The most frequently filled field was the requested examination (99.66%). Of the clinicians, 28% did not use the RRF for their referrals, while 7.37% had illegible handwriting. Conclusion: A significant number of the referring clinicians did not make the best use of the radiology department by not using the institution's approved RRF as an effective means of communication with the radiologists, mainly due to the inadequate completion of the forms. PMID:26288767

  5. INDIPAY Financial Data Request Forms

    EPA Pesticide Factsheets

    The INDIPAY financial data request form requires the individual to provide financial information to support its claim of inability to pay the civil penalty. Both an English and Spanish version are provided.

  6. 77 FR 63924 - Proposed Collection; Comment Request for Form 8633

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8633 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the form and...

  7. 44 CFR 6.30 - Form of requests.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Form of requests. 6.30 Section 6.30 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... manager, at his discretion, may accept oral requests for access subject to verification of identity. ...

  8. 49 CFR Appendix A to Subpart H of... - Service Request Form

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Service Request Form A Appendix A to Subpart H of... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) Pt. 37, Subpt. H, App. A Appendix A to Subpart H of Part 37—Service Request Form Form for Advance Notice Requests and Provision of Equivalent...

  9. 77 FR 24267 - Proposed Collection; Comment Request for Form 8508

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ... 8508, Request for Waiver From Filing Information Returns Electronically (Forms W-2, W-2G, 1042-S, 1098... INFORMATION: Title: Request for Waiver From Filing Information Returns Electronically (Forms W-2, W-2G, 1042-S...

  10. 5 CFR 2638.304 - Form of requests for formal advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Form of requests for formal advisory opinions. 2638.304 Section 2638.304 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Service § 2638.304 Form of requests for formal advisory opinions. (a) A request for a formal advisory...

  11. 48 CFR 245.7101-4 - DD Form 1640, Request for Plant Clearance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 1640, Request for Plant Clearance. 245.7101-4 Section 245.7101-4 Federal Acquisition Regulations System DEFENSE... Forms 245.7101-4 DD Form 1640, Request for Plant Clearance. Use to request plant clearance assistance or...

  12. 78 FR 10263 - Proposed Collection; Comment Request for Form 8082

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ..., Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8082, Notice of Inconsistent Treatment or Administrative Adjustment Request (AAR). DATES: Written... Inconsistent Treatment or Administrative Adjustment Request (AAR). OMB Number: 1545-0790. Form Number: 8082...

  13. 76 FR 64379 - Agency Information Collection Activities: Proposed Collection; Comments Requested; eForm 6 Access...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ...] Agency Information Collection Activities: Proposed Collection; Comments Requested; eForm 6 Access Request... Form/Collection: eForm 6 Access Request. (3) Agency form number, if any, and the applicable component...: Respondents must complete the eForm 6 Access Request form in order to receive a user ID and password to obtain...

  14. 75 FR 33886 - Proposed Collection; Comment Request for Form 5308

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ..., Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5308, Request for Change in Plan/Trust Year. DATES: Written comments should be received on or before... INFORMATION: Title: Request for Change in Plan/Trust Year. OMB Number: 1545-0201. Form Number: 5308. Abstract...

  15. 77 FR 29690 - Extension of a Currently Approved Collection; Comments Requested; COPS Extension Request Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... DEPARTMENT OF JUSTICE Agency Information Collection Activities [OMB Number 1103-0093] Extension of a Currently Approved Collection; Comments Requested; COPS Extension Request Form ACTION: 30-Day Notice of Information Collection Under Review. The Department of Justice (DOJ) Office of Community...

  16. Using pathology-specific laboratory profiles in Clinical Pathology to reduce inappropriate test requesting: two completed audit cycles

    PubMed Central

    2012-01-01

    Background Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Methods Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs’ request forms. Results Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). Conclusions The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the

  17. Using pathology-specific laboratory profiles in clinical pathology to reduce inappropriate test requesting: two completed audit cycles.

    PubMed

    Baricchi, Roberto; Zini, Michele; Nibali, Maria Grazia; Vezzosi, Walter; Insegnante, Vincenzo; Manfuso, Clotilde; Polese, Alessandra; Costoli, Valmer; Spelti, Antonio; Formisano, Debora; Orlandini, Danilo; Nicolini, Fausto; Poli, Antonio

    2012-07-03

    Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs' request forms. Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the prescriptive compliance of most of the GPs involved

  18. 75 FR 60510 - Proposed Collection; Comment Request for Form 1120-RIC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... Companies. OMB Number: 1545-1010. Form Number: 1120-RIC. Abstract: Internal Revenue Code sections 851... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1120-RIC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments...

  19. 78 FR 63564 - Proposed Collection; Comment Request for Form 8038-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-24

    ... 8038-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-R, Request for Recovery of Overpayments Under Arbitrage Rebate Provisions. DATES: Written... Rebate Provisions. OMB Number: 1545-1750. Form Number: 8038-R. Abstract: Under Treasury Regulations...

  20. 75 FR 38176 - Proposed Collection; Comment Request for Form 8916-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8916-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8916-A, Reconciliation of Cost of Goods Sold Reported on Schedule M-3. DATES: Written comments...

  1. 76 FR 44657 - Proposed Collection; Comment Request for Form 1125-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1125-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1125-A, Cost of Goods Sold. DATES: Written comments should be received on or before September 26...

  2. 75 FR 61244 - Proposed Collection; Comment Request for Form 8038-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... 8038-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-R, Request for Recovery of Overpayments Under Arbitrage Rebate Provisions. DATES: Written... information or copies of the form and instructions should be directed to R. Joseph Durbala at Internal Revenue...

  3. 21 CFR 203.60 - Request and receipt forms, reports, and records.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Request and receipt forms, reports, and records. 203.60 Section 203.60 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Request and Receipt Forms, Reports, and...

  4. 32 CFR 989.12 - AF Form 813, Request for Environmental Impact Analysis.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false AF Form 813, Request for Environmental Impact... FORCE ENVIRONMENTAL PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.12 AF Form 813, Request for Environmental Impact Analysis. The Air Force uses AF Form 813 to document the need for...

  5. 75 FR 61840 - Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... 5300 and Schedule Q (Form 5300) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and... comments concerning Form 5300, Application for Determination for Employee Benefit Plan, and Schedule Q... Elective Determination Requests (Schedule Q (Form 5300)). OMB Number: 1545-0197. Form Number: Form 5300 and...

  6. 75 FR 21148 - Proposed Collection; Comment Request for Form 4506-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... 4506-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 4506-T Request for Transcript of Tax Return. DATES: Written comments should be received on or... 4506-T. Abstract: Internal Revenue Code section 7513 allows taxpayers to request a copy of a tax return...

  7. 76 FR 32405 - Proposed Collection; Comment Request for Form 12114

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 12114 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... consideration. ADDRESSES: Direct all written comments to Yvette Lawrence Internal Revenue Service, room 6129...

  8. 78 FR 29205 - Proposed Collection; Comment Request for Form 4952

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4952 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Durbala, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  9. 78 FR 12830 - Proposed Collection; Comment Request for Form 14420

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 14420 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  10. 78 FR 24812 - Proposed Collection: Comment Request for Form 8833

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection: Comment Request for Form 8833 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... written comments to Yvette Lawrence Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW...

  11. 77 FR 68887 - Proposed Collection; Comment Request for Form 2063

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2063 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  12. 77 FR 71037 - Proposed Collection; Comment Request for Form 9452

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 9452 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... all written comments to R. Joseph Durbala, Internal Revenue Service, room 6129, 1111 Constitution...

  13. 75 FR 28322 - Proposed Collection; Comment Request for Form 5578

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5578 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... consideration. ADDRESSES: Direct all written comments to Gerald Shields, Internal Revenue Service, room 6129...

  14. 78 FR 24814 - Proposed Collection; Comment Request for Form 8612

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8612 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... all written comments to Yvette Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue...

  15. 77 FR 4403 - Proposed Collection; Comment Request for Form 8725

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8725 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... R. Joseph Durbala at Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington...

  16. 77 FR 60744 - Proposed Collection; Comment Request for Form 4136

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4136 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  17. 77 FR 71036 - Proposed Collection; Comment Request for Form 4506

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4506 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  18. 77 FR 7241 - Proposed Collection; Comment Request for Form 4810

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4810 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... all written comments to Yvette B. Lawrence, Internal Revenue Service, room 6129, 1111 Constitution...

  19. 76 FR 32403 - Proposed Collection; Comment Request for Form 2678

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2678 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  20. 78 FR 24312 - Proposed Collection; Comment Request for Form 5308

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5308 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY..., Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  1. 76 FR 34810 - Proposed Collection; Comment Request for Form 8810

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8810 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... comments to Yvette B. Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW...

  2. 75 FR 51879 - Proposed Collection; Comment Request for Form 1023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1023 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY.... ADDRESSES: Direct all written comments to Gerald Shields, Internal Revenue Service, room 6129, 1111...

  3. 77 FR 71036 - Proposed Collection; Comment Request for Form 2439

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 2439 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... comments to R. Joseph Durbala, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW...

  4. 75 FR 27861 - Proposed Collection; Comment Request for Form 970

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 970 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER...

  5. 75 FR 39950 - Proposed Collection; Comment Request; Cancer Trials Support Unit (CTSU) Public Use Forms and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... Request; Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI... of customer satisfaction for clinical site staff using the CTSU Help Desk and the CTSU web site. An ongoing user satisfaction survey is in place for the Oncology Patient Enrollment Network (OPEN). User...

  6. 76 FR 12416 - Proposed Collection; Comment Request for Form 8834

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-07

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8834 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... Ralph Terry at Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224...

  7. 78 FR 29205 - Proposed Collection; Comment Request for Form 926

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 926 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... consideration. ADDRESSES: Direct all written comments to R. Joseph Durbala, Internal Revenue Service, Room 6129...

  8. 78 FR 53008 - Proposed Collection; Comment Request for Form 13094

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 13094 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... the Internal Revenue Service. DATES: Written comments should be received on or before October 28, 2013...

  9. 75 FR 15489 - Proposed Collection; Comment Request for Form 12815

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 12815 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent...

  10. 77 FR 16586 - Proposed Collection; Comment Request for Form 8569

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8569 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY: The Department of the Treasury, as part of its continuing effort to reduce paperwork and respondent...

  11. 78 FR 26766 - Commission Information Collection Activities (FERC Form 580); Comment Request; Revision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-08

    ... Information Collection Activities (FERC Form 580); Comment Request; Revision AGENCY: Federal Energy Regulatory... collection, FERC Form No. 580 (Interrogatory on Fuel and Energy Purchase Practices). DATES: Comments on the... (FERC Form No. 580). OMB Control No.: 1902-0131. Type of Request: Three-year approval of the FERC Form...

  12. 76 FR 63992 - Proposed Collection; Comment Request for Form 8894

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ..., Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8894, Request to Revoke Partnership Level Tax Treatment Election. DATES: Written comments should [email protected] . SUPPLEMENTARY INFORMATION: Title: Request to Revoke Partnership Level Tax...

  13. 48 CFR 253.208-1 - DD Form 448, Military Interdepartmental Purchase Request.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false DD Form 448, Military Interdepartmental Purchase Request. 253.208-1 Section 253.208-1 Federal Acquisition Regulations System DEFENSE... DD Form 448, Military Interdepartmental Purchase Request. Follow the procedures at PGI 253.208-1 for...

  14. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 25 2012-07-01 2012-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  15. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 24 2011-07-01 2011-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  16. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  17. 40 CFR 178.27 - Form and manner of submission of request for evidentiary hearing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 24 2014-07-01 2014-07-01 false Form and manner of submission of... Objections and Requests for Hearing § 178.27 Form and manner of submission of request for evidentiary hearing... hearing. (e) Include a discussion of the relationship between the factual issues and the relief requested...

  18. 76 FR 61763 - Extension: Form N-17f-2; Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ...: Form N-17f-2; Proposed Collection; Comment Request Upon Written Request, Copies Available From... information to the Office of Management and Budget for extension and approval. Form N-17f-2 (17 CFR 274.220... Investments in the Custody of Management Investment Companies.'' Form N-17f-2 is the cover sheet for the...

  19. 18 CFR 401.73 - Form of request.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Form of request. 401.73 Section 401.73 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Appeals or Objections to Decisions of the Executive Director in...

  20. 78 FR 19573 - Proposed Collection; Comment Request for Form 8879-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8879-B AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC...

  1. 78 FR 35361 - Proposed Collection; Comment Request for Form 1099-DIV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1099-DIV AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Durbala. Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  2. 78 FR 12154 - Proposed Collection; Comment Request for Form 8453-S

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 8453-S AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... written comments to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW...

  3. 75 FR 33388 - Proposed Collection; Comment Request for Form 1099-B

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1099-B AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments to Gerald Shields, Internal Revenue Service, Room 6129, 1111 Constitution Avenue, NW., Washington...

  4. 78 FR 19578 - Proposed Collection; Comment Request for Form 4506-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 4506-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111 Constitution Avenue NW., Washington, DC...

  5. 76 FR 10670 - Proposed Collection; Comment Request for Form 720-CF

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 720-CF AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments..., Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER...

  6. 78 FR 3498 - Proposed Collection; Comment Request for Form 14417-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-16

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 14417-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments..., Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR FURTHER...

  7. 75 FR 66767 - Submission for OMB Review; Comment Request; Cancer Trials Support Unit (CTSU) Public Use Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ...; Comment Request; Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI...: CTSU collects annual surveys of customer satisfaction for clinical site staff using the CTSU Help Desk and the CTSU Web site. An ongoing user satisfaction survey is in place for the Oncology Patient...

  8. Software solutions alone cannot guarantee useful radiology requests.

    PubMed

    Van Borsel, Mathias D; Devolder, Pieter Jd; Bosmans, Jan Ml

    2016-11-01

    Background The availability of clinical information and a pertinent clinical question can improve the diagnostic accuracy of the imaging process. Purpose To examine if an electronic request form forcing referring clinicians to provide separate input of both clinical information and a clinical question can improve the quality of the request. Material and Methods A total of 607 request forms in the clinical worklists for a computed tomography (CT) scan of the thorax, the abdomen or their combination, were examined. Using software of our own making, we examined the presence of clinical information and a clinical question before and after the introduction of a new, more compelling order method. We scored and compared the quality of the clinical information and the clinical question between the two systems and we examined the effect on productivity. Results Both clinical information and a clinical question were present in 76.7% of cases under the old system and in 95.3% under the new system ( P < 0.001). Individual characteristics of the clinical information and the clinical question however, with the exception of incompleteness, showed little improvement under the new system. There was also no significant difference between the two systems in the number of requests requiring further search. Conclusion The introduction of electronic radiology request forms compelling referring clinicians to provide separate input of clinical information and a clinical question provides only limited benefit to the quality of the request. Raising awareness among clinicians of the importance of a well-written request remains essential.

  9. 77 FR 38145 - Proposed Collection; Comment Request for Form 1099-U.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... by foreign financial institutions (FFI) and non-foreign financial entities (NFFE) with respect to U.S... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 1099-U. AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments...

  10. 76 FR 55741 - Proposed Collection; Comment Request for Form 5305-SEP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5305-SEP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments.... ADDRESSES: Direct all written comments to Yvette B. Lawrence, Internal Revenue Service, room 6129, 1111...

  11. 78 FR 59098 - Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form 5300 and Schedule Q (Form 5300) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and.... Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue NW., Washington, DC 20224. FOR...

  12. 76 FR 18301 - Proposed Collection; Comment Request for HCTC Program Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-01

    ... requests of; changes to their account information, waivers from the Federal requirement that mandates all... on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of... INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be...

  13. 75 FR 44053 - Proposed Collection; Comment Request: CDFI/CDE Project Profiles Web Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ...; Comment Request: CDFI/CDE Project Profiles Web Form ACTION: Notice and request for comments. SUMMARY: The... the Treasury, is soliciting comments concerning the CDFI/CDE Project Profile Web Form, a voluntary... CIIS. The CDFI Fund plans to use the descriptions in CDFI Fund publications, on its Web site and in...

  14. 75 FR 55586 - Submission for OMB Review; Comment Request Cancer Trials Support Unit (CTSU) Public Use Forms and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ...; Comment Request Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI... Collection: CTSU collects annual surveys of customer satisfaction for clinical site staff using the CTSU Help Desk and the CTSU Web site. An ongoing user satisfaction survey is in place for the Oncology Patient...

  15. 77 FR 37098 - Proposed Collection; Comment Request for Form 8038-CP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ... 8038-CP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-CP, Return for Credit Payments to Issuers of Qualified Bonds. DATES: Written comments should... Issuers of Qualified Bonds. OMB Number: 1545-2142. Form Number: Form 8038-CP. Abstract: Form 8038-CP...

  16. 75 FR 2931 - Proposed Collection; Comment Request for Form 1099-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... 1099-H AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments. DATES: Written comments should be.... OMB Number: 1545-1813. Form Number: Form 1099-H. Abstract: Form 1099-H is used to report advance...

  17. 77 FR 64379 - Proposed Collection; Comment Request for Form 1000

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... 1000 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 1000, Ownership Certificate. DATES: Written comments should be received on or before December 18, 2012...: Ownership Certificate. OMB Number: 1545-0054. Form Number: 1000. Abstract: Form 1000 is used by citizens...

  18. 77 FR 16588 - Proposed Collection; Comment Request for Form 8023

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... 8023 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 8023, Elections Under Section 338 for Corporations Making Qualified Stock Purchases. DATES: Written... Qualified Stock Purchases. OMB Number: 1545-1428. Form Number: 8023. Abstract: Form 8023 is used by a...

  19. 78 FR 8225 - Proposed Collection; Comment Request for Form 1099-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... 1099-H AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments. DATES: Written comments should be...: 1545-1813. Form Number: Form 1099-H. Abstract: Form 1099-H is used to report advance payments of health...

  20. 78 FR 13351 - Submission for OMB Review; Comment Request: Clinical Mythteries: A Video Game About Clinical Trials

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ...; Comment Request: Clinical Mythteries: A Video Game About Clinical Trials SUMMARY: Under the provisions of... Mythteries: A Video Game About Clinical Trials. Type of Information Collection Request: NEW. Need and Use of... Institute is planning to create an engaging, informational ``serious video game'' for adolescents about...

  1. 77 FR 65706 - Agency Information Collection Activities: Request for the Return of Original Documents, Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ...-0100] Agency Information Collection Activities: Request for the Return of Original Documents, Form... Collection. (2) Title of the Form/Collection: Request for the Return of Original Documents. (3) Agency form... obtain original document(s) contained in an alien file. (5) An estimate of the total number of...

  2. 77 FR 47426 - Agency Information Collection Activities: Request for the Return of Original Documents, Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ...-0100] Agency Information Collection Activities: Request for the Return of Original Documents, Form.... (2) Title of the Form/Collection: Request for the Return of Original Documents. (3) Agency form... obtain original document(s) contained in an alien file. (5) An estimate of the total number of...

  3. 78 FR 39065 - Proposed Collection; Comment Request for Form 8655

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... tax deposits. This form allows IRS to disclose tax account information and to provide duplicate copies... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995... INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be...

  4. 77 FR 35478 - Proposed Collection; Comment Request for Form 911

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... 911 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. SUMMARY... 911, Application for Taxpayer Assistance Order (ATAO). DATES: Written comments should be received on...: 1545-1504. Form Number: 911. Abstract: This form is used by taxpayers to apply for relief from a...

  5. 78 FR 40832 - Proposed Collection; Comment Request for Form 1098-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... 1098-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1098-T, Tuition Payment Statement. DATES: Written comments should be received on or before... INFORMATION: Title: Tuition Payments Statement. OMB Number: 1545-1574. Form Number: Form 1098-T. Abstract...

  6. 76 FR 77591 - Proposed Collection; Comment Request for Form 1099-MA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... 1099-MA AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1098-MA, Mortgage Assistance Payments. DATES: Written comments should be received on or before... INFORMATION: Title: Mortgage Assistance Payments. OMB Number: 1545-2221. Form Number: Form 1099-MA. Abstract...

  7. 76 FR 37194 - Proposed Collection; Comment Request for Form 1099-R.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... 1099-R. AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs..., Insurance Contracts, etc. OMB Number: 1545-0119. Form Number: 1099-R. Abstract: Form 1099-R is used to...

  8. Preserving professional credibility: grounded theory study of medical trainees' requests for clinical support.

    PubMed

    Kennedy, Tara J T; Regehr, Glenn; Baker, G Ross; Lingard, Lorelei

    2009-02-09

    To develop a conceptual framework of the influences on medical trainees' decisions regarding requests for clinical support from a supervisor. Phase 1: members of teaching teams in internal and emergency medicine were observed during regular clinical activities (216 hours) and subsequently completed brief interviews. Phase 2: 36 in depth interviews were conducted using videotaped vignettes to probe tacit influences on decisions to request support. Data collection and analysis used grounded theory methods. Three teaching hospitals in an urban setting in Canada. 124 members of teaching teams on general internal medicine wards and in the emergency department, comprising 31 attending physicians, 57 junior and senior residents, 28 medical students, and eight nurses. Purposeful sampling to saturation was conducted. Trainees' decisions about whether or not to seek clinical support were influenced by three issues: the clinical question (clinical importance, scope of practice), supervisor factors (availability, approachability), and trainee factors (skill, desire for independence, evaluation). Trainees perceived that requesting frequent/inappropriate support threatened their credibility and used rhetorical strategies to preserve credibility. These strategies included building a case for the importance of requests, saving requests for opportune moments, making a plan before requesting support, and targeting requests to specific team members. Trainees consider not only clinical implications but also professional credibility when requesting support from clinical supervisors. Exposing the complexity of this process provides the opportunity to make changes to training programmes to promote timely supervision and provides a framework for further exploration of the impact of clinical training on quality of care of patients.

  9. 75 FR 5856 - Proposed Collection; Comment Request for Form 1098-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... 1098-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1098-T, Tuition Payment Statement. DATES: Written comments should be received on or before April 5... INFORMATION: Title: Tuition Payments Statement. OMB Number: 1545-1574. Form Number: Form 1098-T. Abstract...

  10. 78 FR 58607 - Proposed Collection; Comment Request for Form 1041-ES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... 1041-ES AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-ES, Estimated Income Tax for Estates and Trusts. DATES: Written comments should be received... INFORMATION: Title: Estimated Income Tax for Estates and Trusts. OMB Number: 1545-0971. Form Number: Form 1041...

  11. 76 FR 39473 - Proposed Collection; Comment Request for Form 1120-PC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... 1120-PC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments concerning Form 1120-PC, U.S. Property and Casualty Insurance Company Income Tax Return. DATES... Casualty Insurance Company Income Tax Return. OMB Number: 1545-1027. Form Number: Form 1120-PC. Abstract...

  12. 78 FR 76892 - Proposed Collection; Comment Request for Form W-12

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-19

    ... W-12 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form W-12 IRS Paid Preparer Tax Identification Number (PTIN). DATES: Written comments should be.... Form Number: Form W-12. Abstract: Paid tax return preparers are required to get a preparer tax...

  13. 75 FR 5855 - Proposed Collection; Comment Request for Form 8038-TC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... 8038-TC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments concerning Form 8038-TC, Information Return for Tax Credit Bonds. DATES: Written comments should...: Form 8038-TC. Abstract: Form 8038-TC will be used by issuers of qualified tax- exempt credit bonds...

  14. 76 FR 53168 - Proposed Collection; Comment Request for Form 1120-H

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... 1120-H AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1120-H, U.S. Income Tax Return for Homeowners Associations. DATES: Written comments should be... Associations. OMB Number: 1545-0127. Form Number: 1120-H. Abstract: Homeowners associations file Form 1120-H to...

  15. 75 FR 9026 - Proposed Collection; Comment Request for Form 8038-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-26

    ... 8038-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-T, Arbitrage Rebate and Penalty in Lieu of Arbitrage Rebate. DATES: Written comments should... Arbitrage Rebate. OMB Number: 1545-1219. Form Number: 8038-T. Abstract: Form 8038-T is used by issuers of...

  16. 77 FR 40703 - Proposed Collection; Comment Request for Form 1097-BTC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... 1097-BTC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1097-BTC, Bond Tax Credit. DATES: Written comments should be received on or before September 10... INFORMATION: Title: Bond Tax Credit. OMB Number: 1545-2197. Form Number: Form 1097-BTC. Abstract: Bond tax...

  17. 78 FR 69938 - Proposed Collection; Comment Request for Form 8453-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ... 8453-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8453-R, Declaration and Signature for Electronic Filing of Forms 8947 and 8963. DATES: Written... copies of the form and instructions should be directed to R. Joseph Durbala, (202) 622-3634, at Internal...

  18. 75 FR 30907 - Proposed Collection; Comment Request for Form 990-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-02

    ... 990-N AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 990-N, Electronic Notice (e-Postcard) for Tax-Exempt Organizations not Required To file Form 990... Number: 1545-2085. Form Number: 990-N. Abstract: Section 1223 of the Pension Protection Act of 2006 (PPA...

  19. 75 FR 71794 - Proposed Collection; Comment Request for Form 1099-Q

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... 1099-Q AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-Q, Payments From Qualified Education Programs (Under Sections 529 and 530). DATES: Written... Programs (Under Sections 529 and 530). OMB Number: 1545-1760. Form Number: 1099-Q. Abstract: Form 1099-Q is...

  20. The impact of automating laboratory request forms on the quality of healthcare services.

    PubMed

    Dogether, Majed Al; Muallem, Yahya Al; Househ, Mowafa; Saddik, Basema; Khalifa, Mohamed

    In recent decades, healthcare organizations have undergone a significant transformation with the integration of Information and Communication Technologies within healthcare operations to improve healthcare services. Various technologies such as Hospital Information Systems (HIS), Electronic Health Records (EHR) and Laboratory Information Systems (LIS) have been incorporated into healthcare services. The aim of this study is to evaluate the completeness of outpatients' laboratory paper based request forms in comparison with a electronic laboratory request system. This study was carried out in the laboratory department at King Abdulaziz Medical City (KAMC), National Guard Health Affairs, Riyadh, Saudi Arabia. We used a sample size calculator for comparing two proportions. We estimated the sample size to be 228 for each group. Any laboratory requests including paper and electronic forms were included. We categorized the clarity of the forms into understandable, readable, and unclear. A total of 57 incomplete paper forms or 25% were identified as being incomplete. For electronic forms, there were no incomplete fields, as all fields were mandatory, therefore, rendering them complete. The total of understandable paper-based laboratory forms was 11.4%. Additionally, it was found that the total of readable was 33.8% and the total for unclear was 54.8%, while for electronic-based forms, there were no unclear forms. Electronic based laboratory forms provide a more complete, accurate, clear, and understandable format than paper-based laboratory records. Based on these findings, KAMC should move toward the implementation of electronic-based laboratory request forms for the outpatient laboratory department. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  1. 77 FR 6863 - Proposed Collection; Comment Request for VITA/TCE Program Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-09

    .../TCE Program Forms AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... VITA/TCE Program Forms 14310, 8653, 8654, and 14024. DATES: Written comments should be received on or... . SUPPLEMENTARY INFORMATION: Title: VITA/TCE Program Forms. OMB Number: 1545-2222. Form Number: Forms 14310, 8653...

  2. 77 FR 50210 - Proposed Collection; Comment Request for Form 1099-K

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... 1099-K AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-K, Merchant Card and Third Party Payments. DATES: Written comments should be received on or...: Form 1099-K. Abstract: This is a new form is in response to section 102 of Public Law 111-147, the...

  3. 77 FR 57197 - Proposed Collection; Comment Request for Form 1099-CAP

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... 1099-CAP AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-CAP, Changes in Corporate Control and Capital Structure. DATES: Written comments should be... Structure. OMB Number: 1545-1814. Form Number: 1099-CAP. Abstract: Any corporation that undergoes...

  4. 76 FR 35509 - Proposed Collection; Comment Request for Form 1099-G

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... 1099-G AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1099-G, Certain Government Payments. DATES: Written comments should be received on or before... . SUPPLEMENTARY INFORMATION: Title: Certain Government Payments. OMB Number: 1545-0120. Form Number: 1099-G...

  5. 77 FR 57190 - Proposed Collection; Comment Request for Schedule H (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Schedule H (Form 1040) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Schedule H (Form 1040), Household Employment Taxes. DATES: Written comments should be received on or before...

  6. 76 FR 9810 - Agency Information Collection Activities: Comment Request for the Ferrous Metals Surveys (17 Forms)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... Activities: Comment Request for the Ferrous Metals Surveys (17 Forms) AGENCY: U.S. Geological Survey (USGS... with domestic consumption data of 13 ores, concentrates, metals, and ferroalloys, some of which are...-0068. Form Number: Various (17 forms). Title: Ferrous Metals Surveys. Type of Request: Extension of a...

  7. 75 FR 11993 - Proposed Collection; Comment Request for Forms 8282 and 8283

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ... 8282 and 8283 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 8282... Property) (Form 8282) and Noncash Charitable Contributions (Form 8283). OMB Number: 1545-0908. Form Numbers...

  8. 75 FR 67164 - Proposed Collection; Comment Request for Form 8886-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-01

    ... 8886-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... comments concerning Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter...-T. Abstract: Certain tax-exempt entities are required to file Form 8886-T to disclose information...

  9. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  10. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  11. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  12. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  13. 42 CFR 102.42 - Deadlines for filing request forms.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 102.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) General. Filing deadlines vary depending on whether the injured individual is a smallpox vaccine recipient... this Program. (c) Smallpox vaccine recipients. All Request Forms filed by, or on behalf of, a smallpox...

  14. 78 FR 21500 - Proposed Collection; Comment Request for Form 8275 and 8275-R

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... 8275 and 8275-R AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form 8275, Disclosure Statement, and Form 8275-R, Regulation Disclosure Statement. DATES: Written... (Form 8275) and Regulation Disclosure Statement (Form 8275-R). OMB Number: 1545-0889. Form Number: Forms...

  15. 75 FR 57470 - Clinical Center; Proposed Collection; Comment Request; Customer and Other Partners Satisfaction...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-21

    ... Collection; Comment Request; Customer and Other Partners Satisfaction Surveys SUMMARY: In compliance with the... Satisfaction Surveys. Type of Information Collection Request: Extension request. Need and Use of Information... evaluate the satisfaction of various Clinical Center customers and other partners with Clinical Center...

  16. 77 FR 64378 - Proposed Collection; Comment Request for Form 1041-QFT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... 1041-QFT AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-QT, U.S. Income Tax Return for Qualified Funeral Trusts. DATES: Written comments should be.... OMB Number: 1545-1593. Form Number: 1041-QFT. Abstract: Internal Revenue Code section 685 allows the...

  17. 75 FR 70971 - Proposed Collection; Comment Request for Form W-12

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-19

    ... W-12 AGENCY: Internal Revenue Service, Treasury. ACTION: Notice and request for comments. SUMMARY...-12 IRS Paid Preparer Tax Identification Number (PTIN). DATES: Written comments should be received on...: 1545-2190. Form Number: Form W-12. Abstract: Paid tax return preparers will be required to get a...

  18. 77 FR 35407 - Proposed Collection; Comment Request: Clinical Mythteries: A Video Game About Clinical Trials

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... Request: Clinical Mythteries: A Video Game About Clinical Trials SUMMARY: In compliance with the... review and approval. Proposed Collection: Title: Clinical Mythteries: A Video Game About Clinical Trials... an engaging, informational ``serious video game'' for adolescents about clinical studies which: (1...

  19. 77 FR 3289 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ... uses Form AA-6, Employee Application for Medicare; Form AA-7, Spouse/Divorced Spouse Application for Medicare; and Form AA-8, Widow/Widower Application for Medicare; to obtain the information needed to.... Forms submitted: AA-6, AA-7, AA-8, RL-311-F. Type of request: Extension without change of a currently...

  20. 78 FR 40824 - Proposed Collection; Comment Request for Form 8038-TC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... 8038-TC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 8038-TC, Information Return for Tax Credit Bonds. DATES: Written comments should be received on or...-TC. Abstract: Form 8038-TC will be used by issuers of qualified tax- exempt credit bonds, including...

  1. 78 FR 46692 - Proposed Collection; Comment Request for Form 990-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... 990-N AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 990-N, Electronic Notice (e-Postcard) for Tax-Exempt Organizations not Required To file Form 990... Number: 990-N. Abstract: Section 1223 of the Pension Protection Act of 2006 (PPA '06), enacted on August...

  2. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  3. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 2 2014-07-01 2012-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  4. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  5. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  6. 41 CFR 101-26.4904-416 - DD Form 416: Purchase Request for Coal, Coke, or Briquettes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true DD Form 416: Purchase Request for Coal, Coke, or Briquettes. 101-26.4904-416 Section 101-26.4904-416 Public Contracts and... DD Form 416: Purchase Request for Coal, Coke, or Briquettes. Note: The form illustrated in § 101-26...

  7. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 2 2011-07-01 2011-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  8. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  9. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 2 2014-07-01 2014-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  10. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 2 2013-07-01 2013-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  11. 32 CFR Appendix A to Part 291 - Freedom of Information Act Request (DNA Form 524)

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 2 2012-07-01 2012-07-01 false Freedom of Information Act Request (DNA Form 524... OF DEFENSE (CONTINUED) FREEDOM OF INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM Pt. 291, App. A Appendix A to Part 291—Freedom of Information Act Request (DNA Form...

  12. 75 FR 35776 - Commission Information Collection Activities (FERC Form No. 80); Comment Request; Submitted for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... Information Collection Activities (FERC Form No. 80); Comment Request; Submitted for OMB Review June 16, 2010... interested person may file comments directly with OMB and should address a copy of those comments to the.../2010) requesting public comments. FERC received no comments on the FERC Form No. 80 and has made this...

  13. 78 FR 73819 - Information Collection; Financial Information Security Request Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ... DEPARTMENT OF AGRICULTURE Forest Service Information Collection; Financial Information Security... individuals and organizations on the extension with revision of a currently approved information collection, Financial Information Security Request Form. DATES: Comments must be received in writing on or before...

  14. 76 FR 49538 - Proposed Collection; Comment Request for Forms 8027 and 8027-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... 8027 and 8027-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form 8027, Employer's Annual Information Return of Tip Income and Allocated Tips, and Form 8027-T... Income and Allocated Tips (Form 8027-T). OMB Number: 1545-0714. Form Number: Forms 8027 and 8027-T...

  15. 29 CFR 1610.7 - Where to make request; form.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 4 2014-07-01 2014-07-01 false Where to make request; form. 1610.7 Section 1610.7 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION AVAILABILITY OF RECORDS... by email to [email protected]eeoc.gov, or by Internet to https://egov.eeoc.gov/foia/. (c) Any Commission officer...

  16. 29 CFR 1610.7 - Where to make request; form.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 4 2013-07-01 2013-07-01 false Where to make request; form. 1610.7 Section 1610.7 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION AVAILABILITY OF RECORDS... by email to [email protected]eeoc.gov, or by Internet to https://egov.eeoc.gov/foia/. (c) Any Commission officer...

  17. 75 FR 28326 - Proposed Collection; Comment Request for Form 1040EZ-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... 1040EZ-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1040EZ-T, Claim for Refund of Federal Telephone Excise Tax. DATES: Written comments should be...: 1545-2039. Form Number: 1040EZ-T. Abstract: Form 1040EZ-T was developed as a result of Notice 2006- 50...

  18. 48 CFR 750.7109-2 - Form of requests by contractors.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Form of requests by contractors. 750.7109-2 Section 750.7109-2 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT CONTRACT MANAGEMENT EXTRAORDINARY CONTRACTUAL ACTIONS Extraordinary Contractual Actions To Protect...

  19. 75 FR 51876 - Proposed Collection; Comment Request for Form 1041-ES

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... 1041-ES AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-ES, Estimated Income Tax for Estates and Trusts. DATES: Written comments should be received...-0971. [[Page 51877

  20. 77 FR 64187 - Proposed Collection; Comment Request for Form 637 Questionnaires

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... 637 Questionnaires AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Questionnaires A, B, C, D, E, F, H, I, J, K, M, Q, R, S, T, UP, UV, V, W, X, and Y, Form 637 Questionnaires... information or copies of Form 637 Questionnaires should be directed to Allan Hopkins, (202)-622-6665, at...

  1. 77 FR 38144 - Proposed Collection; Comment Request for Form 8594

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995... INFORMATION CONTACT: Requests for additional information or copies of the form and instructions should be...

  2. 75 FR 39092 - Proposed Collection; Comment Request for Form 8655

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ... deposits. This form allows IRS to disclose tax account information and to provide duplicate copies of... proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995...., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional information or copies of the...

  3. 76 FR 44658 - Proposed Collection; Comment Request for Form 1041-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... 1041-A AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 1041-A, U.S. Information Return-Trust Accumulation of Charitable Amounts. DATES: Written comments... Accumulation of Charitable Amounts. [[Page 44659

  4. 77 FR 67792 - Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-14

    ... Collection; Comment Request; Northeast Region Permit Family of Forms AGENCY: National Oceanic and Atmospheric... offered in the Northeast region. Exemption programs may allow a vessel to fish in an area that is limited.... Vessels are also required to request gillnet and lobster tags through the Northeast region permit office...

  5. 76 FR 7907 - Proposed Collection; Comment Request for Form 1099-K; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-11

    ... 1099-K; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Correction to notice and... by the Department of the Treasury. Currently, the IRS is soliciting comments concerning Form 1099-K... comments for Proposed Collection; Comment Request for Form 1099-K contains an error that may prove to be...

  6. 78 FR 27965 - Agency Information Collection Activities: Submission for OMB Review; Comment Request Re Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ... FEDERAL DEPOSIT INSURANCE CORPORATION Agency Information Collection Activities: Submission for OMB Review; Comment Request Re Forms Relating To Processing Deposit Insurance Claims AGENCY: Federal Deposit Insurance Corporation (FDIC). ACTION: Notice of proposed information collection renewal and comment request...

  7. 75 FR 21623 - Commission Information Collection Activities (FERC Form Nos. 6 and 6-Q); Comment Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. IC10-6-001 and IC10-6Q-001] Commission Information Collection Activities (FERC Form Nos. 6 and 6-Q); Comment Request; Submitted for OMB... (75FR5061, 2/1/ 2010) requesting public comments. FERC received one comment on the FERC Form No. 6 and FERC...

  8. 77 FR 64187 - Proposed Collection; Comment Request for Form 990-W

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... 990-W AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form 990-W, Estimated Tax on Unrelated Business Taxable Income for Tax- Exempt Organizations. DATES.... ADDRESSES: Direct all written comments to Yvette Lawrence, Internal Revenue Service, Room 6129, 1111...

  9. 76 FR 45906 - Proposed Collection; Comment Request for Form W-10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ... written comments to Yvette B. Lawrence, Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW... W-10 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Form W-10, Dependent Care Provider's Identification and Certification. DATES: Written comments should...

  10. 76 FR 31013 - Proposed Collection; Comment Request for Form 1041-N

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ... 1041-N AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments...-N U.S. Income Tax Return for Electing Alaska Native Settlement Trusts. DATES: Written comments... Alaska Native Settlement Trusts. OMB Number: 1545-1776. Form Number: 1041-N. Abstract: An Alaska Native...

  11. 76 FR 57803 - Proposed Collection; Comment Request for Form 1098-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... 1098-C AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1098-C, Contributions of Motor Vehicles, Boats, and Airplanes. DATES: Written comments should be...

  12. 77 FR 32715 - Proposed Collection; Comment Request for Form 5884-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... 5884-C AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 5884-C, Work Opportunity Credit for Qualified Tax-Exempt Organizations Hiring Qualified Veterans...

  13. 16 CFR Appendix D to Part 698 - Standardized form for requesting annual file disclosures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Standardized form for requesting annual file disclosures. D Appendix D to Part 698 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT MODEL FORMS AND DISCLOSURES Pt. 698, App. D Appendix D to Part 698—Standardized form for...

  14. Provider-to-provider communication in dermatology and implications of missing clinical information in skin biopsy requisition forms: a systematic review.

    PubMed

    Comfere, Nneka I; Sokumbi, Olayemi; Montori, Victor M; LeBlanc, Annie; Prokop, Larry J; Murad, M Hassan; Tilburt, Jon C

    2014-05-01

    Various components of the skin biopsy requisition form (SBRF) may contribute to accurate dermatopathologic interpretation. A search of electronic databases, including those of Ovid MEDLINE In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and Scopus, was conducted from inception to October 2011. Two authors independently screened all articles for eligibility. Inclusion criteria required material to represent original studies on skin biopsy and pathology requisition forms. Data abstracted from each article that met the inclusion criteria included details of the study characteristics, including the study location, type of pathology practice, specimen type, type of dermatoses, medical specialty of the requesting provider, suggested clinical components, and format of the SBRF. Of 32 titles and abstracts reviewed, seven articles were included. From these, we determined that dermatologists, general practitioners and surgeons completed SBRFs. Commonly included components were patient demographics and requesting clinician characteristics. Clinical information and differential diagnosis were provided in 4% (two of 48 surgeons) to 36% (18 of 50 dermatologists) of requisitions. Most SBRFs did not include information on specimen type, clinical morphology, photographs or clinical history. The limited medical literature demonstrates variation in the content of SBRFs across clinicians and practices, and suggests an important target for improvement in the quality of communication and dermatologic care by requesting clinicians and pathologists. © 2013 The International Society of Dermatology.

  15. 75 FR 10025 - Proposed Collection; Comment Request for Forms 8038, 8038-G, and 8038-GC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... 8038, 8038-G, and 8038-GC AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Form 8038, Information Return for Tax-Exempt Private Activity Bond Issues, Form 8038-G... Bond Issues (Form 8038), Information Return for Tax-Exempt Governmental Obligation (Form 8038-G), and...

  16. 77 FR 37699 - Notice of Proposed Information Collection: Comment Request OSHC Financial Reporting Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ... Information Collection: Comment Request OSHC Financial Reporting Form AGENCY: Office of Sustainable Housing... Challenge Planning Grant Program, require the financial reporting by grantees. This tracking of grantee... also lists the following information: Title of Proposal: OSHC Financial Reporting Form. OMB Control...

  17. 45 CFR 150.407 - Form and content of request for hearing.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Form and content of request for hearing. 150.407 Section 150.407 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings § 150.407...

  18. 45 CFR 150.407 - Form and content of request for hearing.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Form and content of request for hearing. 150.407 Section 150.407 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS CMS ENFORCEMENT IN GROUP AND INDIVIDUAL INSURANCE MARKETS Administrative Hearings § 150.407...

  19. 75 FR 36478 - Proposed Collection; Comment Request for Form 1120-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... 1120-C AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-C, U.S. Income Tax Return for Cooperative Associations. DATES: Written comments should be...

  20. 78 FR 28945 - Proposed Collection; Comment Request for Form 1120-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... 1120-C AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1120-C, U.S. Income Tax Return for Cooperative Associations. DATES: Written comments should be...

  1. 76 FR 34293 - Proposed Collection; Comment Request for Form 1099-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    ... 1099-C AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1099-C, Cancellation of Debt. DATES: Written comments should be received on or before August 12...

  2. 77 FR 34462 - Proposed Collection; Comment Request for Schedule C-EZ (Form 1040)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Schedule C-EZ (Form 1040) AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Schedule C-EZ (Form 1040), Net Profit From Business. DATES: Written comments should be received on or...

  3. 78 FR 30312 - Agency Information Collection Activities; Proposed Collection; Comment Request; Requests for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-22

    ... Laboratory Improvement Amendments Categorization AGENCY: Food and Drug Administration, HHS. ACTION: Notice... for Clinical Laboratory Improvement Amendments of 1998 (CLIA) categorization of in vitro diagnostic... techniques, when appropriate, and other forms of information technology. Requests for CLIA Categorization--42...

  4. 75 FR 38178 - Proposed Collection; Comment Request for Form 1040-C

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... 1040-C AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... 1995, Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)). Currently, the IRS is soliciting comments concerning Form 1040-C, U.S. Departing Alien Income Tax Return. DATES: Written comments should be received on or...

  5. 77 FR 38582 - Proposed Information Collection; Comment Request; Domestic Client Life-Cycle Multi-Purpose Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ... Request; Domestic Client Life-Cycle Multi-Purpose Forms AGENCY: International Trade Administration. ACTION... life-cycle with CS. CS is mandated by Congress to help U.S. organizations, particularly small and... Client Life-cycle Multi-Purpose Forms, previously titled Export Information Services Order Forms, are...

  6. Failure to review STAT clinical laboratory requests and its economical impact.

    PubMed

    Rodriguez-Borja, Enrique; Villalba-Martinez, Celia; Barba-Serrano, Esther; Carratala-Calvo, Arturo

    2016-01-01

    Failure to follow-up laboratory test results has been described as one of the major processes contributing to unsafe patient care. Currently, most of the laboratories do not know with certainty not only their rate of missed (or unreviewed) requests but the economical cost and impact that this issue implies. The aim of our study was to measure that rate and calculate the resulting costs. In January 2015, we checked in our Laboratory Information Management System (LIMS) for every emergency request from 1(st) July 2011 to 30(th) June 2014, if they had been reviewed by any allowed user or not. 319,064 requests were ordered during that period of time. Results were expressed as "ordered requests", "missed requests" and its percentage. Additionally, total cost of missed requests was calculated in euros (€). "Non-productive days" were theorised (as the days producing requests that were not reviewed) based on these results. 7924 requests (2.5%) were never reviewed by clinicians. This represented a total cost of 203,039 € and 27 "non-productive" days in three years. Significant differences between inpatients, outpatients and emergency department as well as different emergencies units were found after application of statistical analysis. In terms of resources, never reviewed or missed requests appear to be a not negligible problem for the clinical laboratory management. Electronic result delivery, with electronic endorsement to indicate follow-up of requests along with better systems of electronic requesting should be investigated as a way of improving patient outcomes and save unnecessary expenses.

  7. Indications for laboratory tests in primary care: assessment of the most frequent indications and requests with blank clinical information

    PubMed Central

    Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Leiva-Salinas, Maria; Esteban, Patricia; Ahumada, Miguel; Leiva-Salinas, Carlos

    2016-01-01

    Introduction The aim of this work is twofold. Firstly, to study the temporal evolution in the number of laboratory requests from primary care without clinical indication, and to analyse the number of such requests before and after the implementation of an automated requesting procedure. Secondly, to investigate what are the most frequent clinical indications that prompted laboratory testing. Materials and methods This is a retrospective observational study conducted from January 2009 to December 2015. We counted the requests without clinical question, calculated the number of such requests per total number of requests and listed the most frequent indications. Results The number of tests requests with a blank clinical indication was significantly higher in 2009 when compared to 2015 (80% vs. 20%; P < 0.001). For every year in this 7-year period, dyslipidemia, essential hypertension and diabetes were the most prevalent diagnoses that prompted a laboratory test in primary care, accounting for more than 20% of all indications. Conclusions The number of primary care requests without patient clinical question has decreased after the implementation of an automated requesting procedure. Disorders of lipid metabolism, essential hypertension and diabetes mellitus were the most prevalent diagnoses that prompted a laboratory test in primary care. PMID:27812310

  8. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Request.” The envelope in which the request is sent should be prominently marked with the letters “FOIA.... Under § 1120.33(d), the failure to state willingness to pay fees as high as are anticipated by the A...

  9. 76 FR 36621 - Proposed Collection; Comment Request for Forms 1042, 1042-S, and 1042-T

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... 1042, 1042-S, and 1042-T AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons, Form 1042-S, Foreign Person's U.S. Source Income Subject to Withholding, and Form 1042-T, Annual...

  10. 75 FR 55849 - Proposed Collection; Comment Request for Form 1097-BTC, Bond Tax Credit

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-14

    ... 1097-BTC, Bond Tax Credit AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Form 1097-BTC, Bond Tax Credit. DATES: Written comments should be received on or before... INFORMATION: Title: Form 1097-BTC, Bond Tax Credit. Abstract: This is an information return for reporting tax...

  11. 76 FR 49539 - Proposed Collection; Comment Request for Forms 3921 and 3922

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... 3921 and 3922 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments... Acquired Through an Employee Stock Purchase Plan Under Section 423(c). DATES: Written comments should be... Section 422(b). Form 3922, Transfer of Stock Acquired Through an Employee Stock Purchase Plan Under...

  12. 75 FR 4827 - Submission for OMB Review; Comment Request Clinical Trials Reporting Program (CTRP) Database (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ...; Comment Request Clinical Trials Reporting Program (CTRP) Database (NCI) Summary: Under the provisions of... Collection: Title: Clinical Trials Reporting Program (CTRP) Database. Type of Information Collection Request... Program (CTRP) Database, to serve as a single, definitive source of information about all NCI-supported...

  13. 78 FR 2412 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... Accounting of Disclosures,'' is used to document an individual's request for an accounting of disclosures of...-2) Request for Accounting of Disclosures (OMB Form 15,000 1 10/60 2,500 No. 0917-0030, IHS-913... receive a valid authorization for its use or disclosure of protected health information for other than for...

  14. 78 FR 58608 - Proposed Collection; Comment Request for the EFTPS Primary Contact Information Change Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... EFTPS Primary Contact Information Change Form AGENCY: Internal Revenue Service (IRS), Treasury. ACTION..., the IRS is soliciting comments concerning the EFTPS Primary Contact Information Change Form. DATES... Constitution Avenue NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional...

  15. 75 FR 61245 - Proposed Collection; Comment Request for the EFTPS Primary Contact Information Change Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... EFTPS Primary Contact Information Change Form AGENCY: Internal Revenue Service (IRS), Treasury. ACTION..., the IRS is soliciting comments concerning the EFTPS Primary Contact Information Change Form. DATES... Constitution Avenue, NW., Washington, DC 20224. FOR FURTHER INFORMATION CONTACT: Requests for additional...

  16. 76 FR 45507 - Proposed Information Collection; Comment Request; Public Employment & Payroll Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... DEPARTMENT OF COMMERCE U.S. Census Bureau Proposed Information Collection; Comment Request; Public Employment & Payroll Forms AGENCY: U.S. Census Bureau. ACTION: Notice. SUMMARY: The Department of Commerce... information collections, as required by the Paperwork Reduction Act of 1995, Public Law 104-13 (44 U.S.C. 3506...

  17. 76 FR 52026 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-19

    ... AA-104, Application for Canadian Hospital Benefits Under Medicare--Part A, is provided by the RRB to...) submitted: AA-104 Type of request: Revision of a currently approved collection Affected public: Individuals... proposes non-burden impacting formatting and editorial changes to Form AA-104. The burden estimate for the...

  18. 75 FR 49023 - Proposed Collection; Comment Request for Form TD F 90-22.1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... TD F 90-22.1 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. DATES: Written comments should be.... OMB Number: 1545-2038. Form Number: TD F 90-22.1. Abstract: This information is collected because of...

  19. 78 FR 21912 - Proposed Information Collection; Comment Request; Processed Products Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... Collection; Comment Request; Processed Products Family of Forms AGENCY: National Oceanic and Atmospheric... NOAA in the economic and social analyses developed when proposing and evaluating fishery management... collection). Affected Public: Business or other for-profit organizations. Estimated Number of Respondents...

  20. 78 FR 45919 - Commission Information Collection Activities (FERC Form 80); Comment Request; Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... Information Collection Activities (FERC Form 80); Comment Request; Extension AGENCY: Federal Energy Regulatory... Office of Information and Regulatory Affairs: [email protected] . Attention: Federal Energy... receiving automatic notification of activity in this docket or in viewing/downloading comments and issuances...

  1. 76 FR 9615 - Agency Forms Submitted for OMB Review, Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-18

    ... Regulatory Affairs (OIRA), Office of Management and Budget (OMB) to request an extension without change of a... the Social Security Act, states may enter into ``buy-in agreements'' with the Secretary of Health and... voluntary. One response is received from each respondent. The RRB proposes no changes to Form RL-380-F...

  2. 78 FR 9049 - Agency Information Collection Activities: Proposed Collection Renewal; Comment Request Re Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-07

    ... FEDERAL DEPOSIT INSURANCE CORPORATION Agency Information Collection Activities: Proposed Collection Renewal; Comment Request Re Forms Relating to Processing Deposit Insurance Claims AGENCY: Federal Deposit Insurance Corporation (FDIC). ACTION: Notice of proposed information collection renewal and...

  3. 78 FR 24402 - Commission Information Collection Activities (FERC Form 80); Comment Request; Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    ... Information Collection Activities (FERC Form 80); Comment Request; Extension AGENCY: Federal Energy Regulatory... automatic notification of activity in this docket or in viewing/downloading comments and issuances in this... jurisdiction to recognize the resources that are affected by their activities and to play a role in protecting...

  4. 78 FR 10600 - Proposed Information Collection; Comment Request; Southeast Region Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Southeast Region Logbook Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA). ACTION: Notice. SUMMARY: The Department of Commerce, as part of its...

  5. Written Computer-Mediated Requests for Help by French-Speaking Students: An Analysis of Their Forms and Functions

    ERIC Educational Resources Information Center

    Puustinen, Minna; Bernicot, Josie; Bert-Erboul, Alain

    2011-01-01

    The present study regarded the self-regulated vs. not-self-regulated function and the indirect vs. direct (i.e., polite vs. impolite) linguistic form of middle school students' requests for help. Natural data (149 requests were sent via an online homework-help forum by French-speaking seventh to ninth graders) was used. Nearly 60% of the requests…

  6. 36 CFR § 1120.25 - Form of requests.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... requests. A request must be in writing, must reasonably describe the records sought in a way that will... letters “FOIA.” It is helpful, but not necessary, for the requestor to include his or her phone number and...

  7. 78 FR 28820 - Commission Information Collection Activities (FERC Form 80); Comment Request; Revision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... Information Collection Activities (FERC Form 80); Comment Request; Revision AGENCY: Federal Energy Regulatory... notification of activity in this docket or in viewing/downloading comments and issuances in this docket may do... the resources that are affected by their activities and to play a role in protecting such resources...

  8. 20 CFR 726.307 - Form of notice of contest and request for hearing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Form of notice of contest and request for hearing. 726.307 Section 726.307 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS; REQUIREMENTS FOR...

  9. A guide to requesting outpatient and emergency radiographs.

    PubMed

    Tan, Gerald Jit Shen; Lim, Er Luen; How, Choon How

    2012-07-01

    Radiology is an important adjunct to clinical practice, but for many clinicians, requesting X-rays was something that was learnt on the job. This article provides guidelines on when and how to request X-rays for acute conditions such as head and cervical spine trauma, suspected rib and extremity fractures, low back pain and acute abdominal pain. We also highlight what to write in the request form, in order to obtain maximum value from the examination and allow the radiologist to generate a useful, accurate report.

  10. 77 FR 74647 - Agency Information Collection Activities: Proposed Collection, Comment Request: Form TO, Annual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-17

    ...). Note that the swap definition excludes options on futures (which must be traded on a designated... COMMODITY FUTURES TRADING COMMISSION Agency Information Collection Activities: Proposed Collection, Comment Request: Form TO, Annual Notice Filing for Counterparties to Unreported Trade Options AGENCY...

  11. 77 FR 47370 - Proposed Information Collection; Comment Request; Northeast Region Logbook Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... Collection; Comment Request; Northeast Region Logbook Family of Forms AGENCY: National Oceanic and... the Northeast are required to submit logbooks containing catch and effort information about their... requirement for Northeast multispecies permit holders participating in the special access programs (SAPs), the...

  12. 76 FR 17839 - Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Northeast Region Permit Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA). ACTION: Notice. SUMMARY: The Department of Commerce, as part of its continuing effort to...

  13. The Varied Circumstances Prompting Requests for Emergency Contraception at School-Based Clinics

    ERIC Educational Resources Information Center

    Sidebottom, Abbey; Harrison, Patricia A.; Amidon, Donna; Finnegan, Katie

    2008-01-01

    Background: Little is known about the circumstances that prompt teenagers to request emergency contraception (EC). This evaluation was designed to refine the EC clinical protocol and improve pregnancy prevention efforts in high school-based clinics by analyzing information on EC use and subsequent contraception use of EC patients. Methods: Sites…

  14. 76 FR 61709 - Agency Information Collection Activities; Proposed Collection; Comment Request; FDA Form 3728...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0708] Agency Information Collection Activities; Proposed Collection; Comment Request; FDA Form 3728, Animal...: The Food and Drug Administration (FDA) is announcing an opportunity for public comment on the proposed...

  15. Evaluation of Physicians' Requests for Autopsies.

    ERIC Educational Resources Information Center

    Kesler, Richard W.; And Others

    1983-01-01

    Chaplains and seminary students enrolled in the University of Virginia Medical Center's Clinical Pastoral Program were asked to judge physicians' performances while requesting autopsies by completing a confidential evaluation form. The results of the evaluations were correlated with the physicians' success in obtaining autopsies. (MLW)

  16. 32 CFR 807.3 - Requests for classified material, For Official Use Only material, accountable forms, storage...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Requests for classified material, For Official Use Only material, accountable forms, storage safeguard forms, Limited (L) distribution items, and items with restrictive distribution caveats. 807.3 Section 807.3 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE...

  17. 76 FR 65500 - Proposed Information Collection; Comment Request; Highly Migratory Species Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Highly Migratory Species Permit Family of Forms AGENCY: National Oceanic and Atmospheric Administration (NOAA). ACTION: Notice. SUMMARY: The Department of Commerce, as part of its...

  18. 76 FR 24912 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... for OMB Review; Comment Request; Request for Examination and/or Treatment ACTION: Notice. SUMMARY: The... information collection request (ICR) titled, ``Request for Examination and/or Treatment,'' Form LS-1, to the... Request for Examination and/or Treatment, Form LS-1, is used by employers to authorize medical treatment...

  19. 78 FR 19649 - Proposed Information Collection; Comment Request; Southwest Region Permit Family of Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-02

    ... Federally-managed fisheries off the West Coast. There are three types of permits: Basic fishery permits for... fishing permits (EFPs). Appeals and certain waiver requests may also be submitted. Transfer applications... Species permits by April 30, 2013. III. Data OMB Control Number: 0648-0204. Form Number: None. Type of...

  20. 75 FR 46945 - Proposed Collection; Comment Request; the Drug Accountability Record (Form NIH 2564) (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... Request; the Drug Accountability Record (Form NIH 2564) (NCI) SUMMARY: In compliance with the requirement... Management and Budget (OMB) for review and approval. Proposed Collection Title: The Drug Accountability... agent accountability. In order to fulfill these requirements, a standard Investigational Drug...

  1. 75 FR 35843 - Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... welfare plans (collectively referred to as employee benefit plans) to file returns or reports annually... DEPARTMENT OF LABOR Employee Benefits Security Administration Proposed Extension of Information Collection Request Submitted for Public Comment; Form 5500, Annual Return/Report of Employee Benefit Plan...

  2. 75 FR 67975 - Agency Information Collection Request; 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... Information Request Form. The Civil Rights Information Request Form is designed to collect data from health... of the Medicare certification process, health care facilities must receive a civil rights clearance... regulations. The civil rights information is requested only when a health care provider applies for Medicare...

  3. 76 FR 47648 - Proposed Collection; Comment Request for Form 8850

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... 8850, Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work...: Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits... request to a state employment security agency to certify an employee as a member of a targeted group for...

  4. 78 FR 25416 - Information Collection Request: Web-Based Supply Chain Management Commodity Offer Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Request: Web-Based Supply Chain Management Commodity Offer Forms AGENCY: Farm Service Agency and Commodity..., and yearly bases. Special invitations, however, are issued throughout the month. Web-Based Supply... will be posted to the FSA Web site and also to the WBSCM portal and FedBizOpps ( https://www.fbo.gov...

  5. 78 FR 52824 - Proposed Information Collection (Bowel and Bladder Care Billing Form) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-26

    ... and Bladder Care Billing Form) Activity: Comment Request AGENCY: Veterans Health Administration.... This notice solicits comments on the information needed to evaluate the Bowel and Bladder Care Billing... specifically to bowel and bladder care. DATES: Written comments and recommendations on the proposed collection...

  6. Children's Requests to Unfamiliar Adults: Form, Social Function, Age Variation.

    ERIC Educational Resources Information Center

    Gordon, David Paul; And Others

    Elementary school students were required to obtain objects from two adults engaged in conversation with each other. Results differed markedly between older and younger children. For the younger children, (1) there were three times as many statement requests (SRs) as interrogative requests (IRs); (2) almost 50% of requests were need statements; (3)…

  7. 76 FR 3599 - Agency Information Collection Activities: Proposed Collection; Comment Request Form FNS-798 and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ...: Proposed Collection; Comment Request Form FNS-798 and FNS-798A, WIC Financial Management and Participation...: Joan Carroll, (703) 305-2729. SUPPLEMENTARY INFORMATION: Title: WIC Financial Management and...)). The WIC Financial Management and Participation Report with Addendum (FNS-798 and FNS-798A) are the...

  8. 75 FR 38798 - Commission Information Collection Activities (FERC Form No. 580) Request; Submitted for OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ..., Office of the Deputy Chief Information Officer, Federal Energy Regulatory Commission, 888 First Street... Information Collection Activities (FERC Form No. 580) Request; Submitted for OMB Review; Correction June 29... submission of information collection to the Office of Management and Budget for review of information...

  9. 76 FR 68197 - Clinical Development Programs for Sedation Products; Public Workshop; Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-03

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0547] Clinical Development Programs for Sedation Products; Public Workshop; Request for Comments AGENCY: Food and... clinically meaningful (e.g., subjective and objective assessments of memory, recall, anxiety, agitation, or...

  10. 77 FR 1061 - Proposed Information Collection; Comment Request; Application Forms for Membership on a National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-09

    ... Collection; Comment Request; Application Forms for Membership on a National Marine Sanctuary Advisory Council... collection. Section 315 of the National Marine Sanctuaries Act (16 U.S.C. 1445a) allows the Secretary of... designation and management of national marine sanctuaries. Advisory councils are individually chartered for...

  11. 78 FR 13886 - Agency Information Collection Activities: Comment Request for the Production Estimate (2 Forms)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ... DEPARTMENT OF THE INTERIOR U.S. Geological Survey [USGS-GX13LR000F60100] Agency Information Collection Activities: Comment Request for the Production Estimate (2 Forms) AGENCY: U.S. Geological Survey... Officer, U.S. Geological Survey, 12201 Sunrise Valley Drive, Mail Stop 807, Reston, VA 20192 (mail); 703...

  12. 75 FR 61763 - Submission of OMB Review; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ...; Comment Request; Drug Accountability Record (Form NIH 2564) (NCI) SUMMARY: In compliance with the..., 2011, unless it displays a valid OMB control number. Proposed Collection: Title: Drug Accountability... accountability. In order to fulfill these requirements, a standard Investigational Drug Accountability Report...

  13. 76 FR 34091 - Notice of Proposed Information Collection: Comment Request; Form HUD-9834 Management Review for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ... Information Collection: Comment Request; Form HUD-9834 Management Review for Multifamily Housing Projects... (CAs) to evaluate the quality of project management; determine the causes of project problems; devise... Management Review for Multifamily Housing Projects. Estimation of the total numbers of hours needed to...

  14. 78 FR 23898 - Notice of Request for a New Information Collection (Accredited Laboratory Contact Update Form)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-23

    ... Request for a New Information Collection (Accredited Laboratory Contact Update Form) AGENCY: Food Safety... compilation of updated contact information for Accredited Laboratories. DATES: Comments on this notice must be... FURTHER INFORMATION CONTACT: Contact John O'Connell, Paperwork Reduction Act Coordinator, Food Safety and...

  15. Predictors of outpatients' request for palliative care service at a medical oncology clinic of a German comprehensive cancer center.

    PubMed

    Tewes, Mitra; Rettler, Teresa; Wolf, Nathalie; Hense, Jörg; Schuler, Martin; Teufel, Martin; Beckmann, Mingo

    2018-05-05

    Early integration of palliative care (PC) is recommended. The determination of predictors for patients' request for PC may guide implementation in clinical practice. Toward this end, we analyzed the symptom burden and distress of cancer patients in outpatient care and examined their need and request for PC. Between October 2013 and March 2016, 705 patients receiving outpatient cancer treatment took part in the survey. We used the new MInimal DOcumentation System to detect symptom clusters. Additionally, patients' request for palliative and psychosocial support was assessed. Groups of patients with PC request were compared to patients without PC request regarding their symptom clusters. Logistic regression analysis was applied to discover significant predictors for the requested inclusion of PC. A total of 159 patients (25.5%) requested additional support by PC. Moderate and severe tiredness (40.3%), weakness (37.9%), pain (25.0%), loss of appetite (22.3%), and dyspnea (19.1%) were the most frequent symptoms. The group of patients requesting PC differed significantly in terms of pain, nausea, dyspnea, constipation, weakness, loss of appetite, tiredness, depression, and anxiety from patients without request for PC (p < .01). The perceived need for PC was identified by the significant predictors "depression," "anxiety," and "weakness" with an explained variance of 22%. Combining a standardized screening questionnaire and the assessment of patients' request for PC allows systematic monitoring for patients' need for PC in a large Medical Oncology clinic. Depression, anxiety, and weakness are predictors of requesting PC service by patients receiving outpatient cancer treatment.

  16. 75 FR 7522 - Peer Review, Conflict of Interest and Disclosure Form; Request for the Office of Management and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ... Review, Conflict of Interest and Disclosure Form; Request for the Office of Management and Budget's (OMB... proposal to extend the Office of Management and Budget's (OMB) approval of the Conflict of Interest (COI) and Disclosure Form which is used to determine whether or not a conflict of interest exists for a...

  17. 76 FR 73648 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4... collection; Title of Information Collection: Request for Certification as a Rural Health Clinic Form and... of Rural Health Clinic (RHC) Services under the Medicare/ Medicaid Program, is utilized as an...

  18. 75 FR 3905 - Proposed Collection; Comment Request for an Unmodified OGE Form 450 Executive Branch Confidential...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... OFFICE OF GOVERNMENT ETHICS Proposed Collection; Comment Request for an Unmodified OGE Form 450 Executive Branch Confidential Financial Disclosure Report AGENCY: Office of Government Ethics (OGE). ACTION... message). FAX: 202-482-9237. Mail, Hand Delivery/Courier: Office of Government Ethics, Suite 500, 1201 New...

  19. 78 FR 66382 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Request by...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-05

    ... Information Collection Activities; Proposed Collection; Comments Requested: Request by Organization for... Information Collection: New Voluntary Collection. (2) Title of the Form/Collection: Request by Organization... information collection request to the Office of Management and Budget (OMB) for review and approval in...

  20. 8 CFR 103.40 - Genealogical Research Requests.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Genealogy requests are requests for searches and/or copies of historical records relating to a deceased person, usually for genealogy and family history research purposes. (b) Manner of requesting genealogical searches and records. Requests must be submitted on Form G-1041, Genealogy Index Search Request, or Form G...

  1. 77 FR 13070 - Notice of Request for Approval of a New Information Collection for Export/Health Certificate Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ... as negotiations continue with more countries. DATES: Comments on this notice must be received by May... 16 different export certificate request forms with ongoing negotiations with at least 5 more...

  2. 77 FR 59664 - Agency Information Collection Activities: Extension Requested; Comments Requested, Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... DEPARTMENT OF JUSTICE [OMB Number 1103-0100] Agency Information Collection Activities: Extension Requested; Comments Requested, Monitoring Information Collections ACTION: 60-day notice. The Department of.... (2) Title of the Form/Collection: Monitoring Information Collections. (3) Agency form number, if any...

  3. REQUEST A COLOR GUARD

    Science.gov Websites

    EMERGENCY PREPAREDNESS CONTACT REQUEST A SPEAKER REQUEST A COLOR GUARD OPERATIONAL CONTRACT SUPPORT HomeCONTACTREQUEST A COLOR GUARD Request a Color Guard Please take a moment to fill out the document at the link one month to process your request, but no more than three. Color Guard Request Form For Community

  4. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... A request must be in writing, must reasonably describe the records sought in a way that will permit....” It is helpful, but not necessary, for the requestor to include his or her phone number and the reason...

  5. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... A request must be in writing, must reasonably describe the records sought in a way that will permit....” It is helpful, but not necessary, for the requestor to include his or her phone number and the reason...

  6. 36 CFR 1120.25 - Form of requests.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    .... A request must be in writing, must reasonably describe the records sought in a way that will permit....” It is helpful, but not necessary, for the requestor to include his or her phone number and the reason...

  7. Analysis of Nursing Clinical Decision Support Requests and Strategic Plan in a Large Academic Health System

    PubMed Central

    Bavuso, Karen; Bouyer-Ferullo, Sharon; Goldsmith, Denise; Fairbanks, Amanda; Gesner, Emily; Lagor, Charles; Collins, Sarah

    2016-01-01

    Summary Objectives To understand requests for nursing Clinical Decision Support (CDS) interventions at a large integrated health system undergoing vendor-based EHR implementation. In addition, to establish a process to guide both short-term implementation and long-term strategic goals to meet nursing CDS needs. Materials and Methods We conducted an environmental scan to understand current state of nursing CDS over three months. The environmental scan consisted of a literature review and an analysis of CDS requests received from across our health system. We identified existing high priority CDS and paper-based tools used in nursing practice at our health system that guide decision-making. Results A total of 46 nursing CDS requests were received. Fifty-six percent (n=26) were specific to a clinical specialty; 22 percent (n=10) were focused on facilitating clinical consults in the inpatient setting. “Risk Assessments/Risk Reduction/Promotion of Healthy Habits” (n=23) was the most requested High Priority Category received for nursing CDS. A continuum of types of nursing CDS needs emerged using the Data-Information-Knowledge-Wisdom Conceptual Framework: 1) facilitating data capture, 2) meeting information needs, 3) guiding knowledge-based decision making, and 4) exposing analytics for wisdom-based clinical interpretation by the nurse. Conclusion Identifying and prioritizing paper-based tools that can be modified into electronic CDS is a challenge. CDS strategy is an evolving process that relies on close collaboration and engagement with clinical sites for short-term implementation and should be incorporated into a long-term strategic plan that can be optimized and achieved overtime. The Data-Information-Knowledge-Wisdom Conceptual Framework in conjunction with the High Priority Categories established may be a useful tool to guide a strategic approach for meeting short-term nursing CDS needs and aligning with the organizational strategic plan. PMID:27437036

  8. Analysis of Nursing Clinical Decision Support Requests and Strategic Plan in a Large Academic Health System.

    PubMed

    Whalen, Kimberly; Bavuso, Karen; Bouyer-Ferullo, Sharon; Goldsmith, Denise; Fairbanks, Amanda; Gesner, Emily; Lagor, Charles; Collins, Sarah

    2016-01-01

    To understand requests for nursing Clinical Decision Support (CDS) interventions at a large integrated health system undergoing vendor-based EHR implementation. In addition, to establish a process to guide both short-term implementation and long-term strategic goals to meet nursing CDS needs. We conducted an environmental scan to understand current state of nursing CDS over three months. The environmental scan consisted of a literature review and an analysis of CDS requests received from across our health system. We identified existing high priority CDS and paper-based tools used in nursing practice at our health system that guide decision-making. A total of 46 nursing CDS requests were received. Fifty-six percent (n=26) were specific to a clinical specialty; 22 percent (n=10) were focused on facilitating clinical consults in the inpatient setting. "Risk Assessments/Risk Reduction/Promotion of Healthy Habits" (n=23) was the most requested High Priority Category received for nursing CDS. A continuum of types of nursing CDS needs emerged using the Data-Information-Knowledge-Wisdom Conceptual Framework: 1) facilitating data capture, 2) meeting information needs, 3) guiding knowledge-based decision making, and 4) exposing analytics for wisdom-based clinical interpretation by the nurse. Identifying and prioritizing paper-based tools that can be modified into electronic CDS is a challenge. CDS strategy is an evolving process that relies on close collaboration and engagement with clinical sites for short-term implementation and should be incorporated into a long-term strategic plan that can be optimized and achieved overtime. The Data-Information-Knowledge-Wisdom Conceptual Framework in conjunction with the High Priority Categories established may be a useful tool to guide a strategic approach for meeting short-term nursing CDS needs and aligning with the organizational strategic plan.

  9. 77 FR 74280 - Proposed Information Collection (Learner's Perception (LP) Survey); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... (Learner's Perception (LP) Survey); Comment Request AGENCY: Veterans Health Administration, Department of... techniques or the use of other forms of information technology. Title: Learner's Perception (LP) Survey, VA... collection. Abstract: VA Form 10-0439 will be use to obtain health care trainees perception of their clinical...

  10. 75 FR 28325 - Proposed Collection; Comment Request for Form 8316

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... 8316, Information Regarding Request for Refund of Social Security Tax Erroneously Withheld on Wages... . SUPPLEMENTARY INFORMATION: Title: Information Regarding Request for Refund of Social Security Tax Erroneously... information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance...

  11. 77 FR 71480 - Proposed Collection; Comment Request for Form 4506T-EZ, 4506-T-EZ (SP)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ... (SP), Formulario Abreviado para la Solicitud de un Trasunto de la Declaracion de Impuestos Personales... Request for Individual Tax Return Transcript (4506T-EZ); Formulario Abreviado para la Solicitud de un Trasunto de la Declaracion de Impuestos Personales (4506T-EZ (SP)). OMB Number: 1545-2154. Form Number...

  12. 78 FR 7437 - Proposed Collection; Comment Request (60-Day FRN); The Clinical Trials Reporting Program (CTRP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; Comment Request (60-Day FRN); The Clinical Trials Reporting Program (CTRP) Database (NCI) SUMMARY: In compliance... publication. Proposed Collection: The Clinical Trials Reporting Program (CTRP) Database, 0925-0600, Expiration...

  13. 78 FR 40830 - Proposed Collection; Comment Request for Form 8316

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... 8316, Information Regarding Request for Refund of Social Security Tax Erroneously Withheld on Wages... INFORMATION: Title: Information Regarding Request for Refund of Social Security Tax Erroneously Withheld on... information technology; and (e) estimates of capital or start-up costs and costs of operation, [[Page 40831...

  14. 77 FR 56232 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Forms for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-12

    ...The Department of Labor (DOL) is submitting the Employment and Training Administration (ETA) sponsored information collection request (ICR) revision titled, ``Forms for Agricultural Recruitment System Affecting Migratory Farm Workers,'' to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501 et seq.).

  15. 77 FR 6125 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... services requesting participation in the Medicare program. This form initiates the process of obtaining a... promotes data reduction or introduction to and retrieval from the Automated Survey Process Environment... clinic data as a part of the RHC certification process. Therefore, the revised title is ``Form CMS-29...

  16. 78 FR 75575 - Agency Information Collection Activities: Submission for OMB Review; Comment Request; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-12

    ... Request; Request for the Site Inspection, Landowners Authorization/Ingress/Egress Agreement. AGENCY... . SUPPLEMENTARY INFORMATION: Collection of Information Title: Request for the Site Inspection, Landowners...-09, Request for the Site Inspection; FEMA Form 010-0-10, Landowner's Authorization Ingress- Egress...

  17. 77 FR 59911 - Request To Make Special Program for the Law School Clinic Certification Patent Pilot Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ...] Request To Make Special Program for the Law School Clinic Certification Patent Pilot Program AGENCY... and Trademark Office (USPTO) is implementing a pilot program in which a law school clinic participating in the USPTO Law School Clinic Certification Pilot Program may file an application for a pro bono...

  18. 76 FR 30738 - Agency Information Collection Activities: Form G-845 and Form G-845 Supplement, Revision of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    ... Collection Activities: Form G-845 and Form G- 845 Supplement, Revision of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection under Review: Form G- 845 and Form G-845 Supplement, Document Verification Request and Document Verification Request Supplement; OMB...

  19. 75 FR 37519 - 30-Day Notice of Proposed Information Collection: Forms DS-4138, Request for Escort Screening...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-29

    ... to obtain or retain a benefit. Title of Information Collection: Application for OFM Web site Account...] 30-Day Notice of Proposed Information Collection: Forms DS-4138, Request for Escort Screening Courtesies; DS-4139, Photograph and Signature Card; & DS-4140, Application for OFM Web Site Account; DS- 1504...

  20. 46 CFR 308.530 - Letter requesting increase or decrease in amount of surety bond, Form MA-310.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 8 2014-10-01 2014-10-01 false Letter requesting increase or decrease in amount of surety bond, Form MA-310. 308.530 Section 308.530 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION EMERGENCY OPERATIONS WAR RISK INSURANCE War Risk Cargo Insurance Open Policy War Risk Cargo...

  1. 76 FR 3688 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... may request Appeals Council review by filing a written request using Form HA-520. SSA uses the... CFR 404.938 & 416.1438--0960-0671. SSA uses Forms HA-504 and HA-504-OP1 to inform claimants of a... exclusion of the video teleconferencing option on the HA-504-OP1. We exclude video teleconferencing when it...

  2. 75 FR 2549 - Clinical Accuracy Requirements for Point of Care Blood Glucose Meters; Public Meeting; Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-15

    ...] Clinical Accuracy Requirements for Point of Care Blood Glucose Meters; Public Meeting; Request for Comments... Requirements for Point of Care Blood Glucose Meters. The purpose of the public meeting is to discuss the clinical accuracy requirements of blood glucose meters and other topics related to their use in point of...

  3. 77 FR 18849 - Notice of Proposed Information Collection: Comment Request: Insurance Termination Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-28

    ... Information Collection: Comment Request: Insurance Termination Request for Multifamily Mortgage AGENCY: Office... also lists the following information: Title of Proposal: Insurance Termination Request for Multifamily... mortgagee mutually agree to terminate the HUD multifamily mortgage insurance. Agency form numbers, if...

  4. 75 FR 52313 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-25

    .... Title, Form and OMB Number: Request for Armed Forces Participation in Public Events (Non-Aviation), DD Form 2536 and Request for Military Aerial Support, DD Form 2535; OMB Number 0704-0290. Type of Request...

  5. 77 FR 31027 - Submission for OMB Review; Comment Request; Web-Based Assessment of the Clinical Studies Support...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ...; Comment Request; Web-Based Assessment of the Clinical Studies Support Center (CSSC) Summary: Under the... current valid OMB control number. Proposed Collection: Title: Web-Based Assessment of the Clinical Studies... Operations and Procedures (MOP); coordinating meeting space and logistics for in-person meetings, Web...

  6. 75 FR 15482 - Notice of Request for Public Comments; 60-Day Notice of Proposed Information Collection: Forms DS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... benefit. Title of Information Collection: Application for OFM Web site Account. OMB Control Number: 1405...] Notice of Request for Public Comments; 60-Day Notice of Proposed Information Collection: Forms DS-4138... for OFM Web Site Account; Foreign Diplomatic Services Applications, OMB Collection Number 1405-0105...

  7. 75 FR 5061 - Commission Information Collection Activities (FERC Form Nos. 6 and 6-Q); Comment Request; Extensions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-01

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket Nos. IC10-6-000 and IC10-6Q-000] Commission Information Collection Activities (FERC Form Nos. 6 and 6-Q); Comment Request; Extensions January... to Docket Nos. IC10-6-000 and IC10-6Q-000. For comments that only pertain to one of the collections...

  8. Clinical Forms of Chikungunya in Gabon, 2010

    PubMed Central

    Caron, Mélanie; Grard, Gilda; Mombo, Illich; Bikié, Branly; Paupy, Christophe; Becquart, Pierre; Bisvigou, Ulrich; Leroy, Eric Maurice

    2012-01-01

    Background Chikungunya virus (CHIKV) has caused multiple outbreaks in tropical and temperate areas worldwide, but the clinical and biological features of this disease are poorly described, particularly in Africa. We report a prospective study of clinical and biological features during an outbreak that occurred in Franceville, Gabon in 2010. Methodology/Principal Findings We collected, in suspect cases (individuals presenting with at least one of the following symptoms or signs: fever, arthralgias, myalgias, headaches, rash, fatigue, nausea, vomiting, diarrhea, bleeding, or jaundice), blood samples, demographic and clinical characteristics and outcome. Hematological and biochemical tests, blood smears for malaria parasites and quantitative PCR for CHIKV then dengue virus were performed. CHIKV+ patients with concomitant malaria and/or dengue were excluded from the study. From May to July 2010, data on 270 laboratory-confirmed CHIK patients were recorded. Fever and arthralgias were reported by respectively 85% and 90% of patients, while myalgias, rash and hemorrhage were noted in 73%, 42% and 2% of patients. The patients were grouped into 4 clinical categories depending on the existence of fever and/or joint pain. On this basis, mixed forms accounted for 78.5% of cases, arthralgic forms 12.6%, febrile forms 6.7% and unusual forms (without fever and arthralgias) 2.2%. No cases of organ failure or death were reported. Elevated liver enzyme and creatinine levels, anemia and lymphocytopenia were the predominant biological abnormalities, and lymphocytopenia was more severe in patients with high viral loads (p = 0.01). Conclusions/Significance During CHIK epidemics, some patients may not have classical symptoms. The existence of unusual forms and the absence of severe forms of CHIK call for surveillance to detect any change in pathogenicity. PMID:22348166

  9. Norwegian obstetricians' opinions about cesarean section on maternal request: should women pay themselves?

    PubMed

    Fuglenes, Dorthe; Oian, Pål; Gyrd-Hansen, Dorte; Olsen, Jan Abel; Kristiansen, Ivar S

    2010-12-01

    to explore obstetricians' opinions on cesarean section (CS) on maternal request in the absence of a medical indication, and the potential to regulate CS on maternal request through financial incentives such as patient co-payment. cross-sectional study. Norway. a total of 507 obstetricians (response rate 71%). Questionnaire covering socio-demographic variables, professional experience and attitudes about CS on maternal request (such as willingness to perform, views on how CS on maternal request should be financed). obstetricians' opinions about CS on maternal request including funding and use of patient co-payments. clinical encounters with CS on maternal request were considered problematic from a clinical viewpoint by 62% of the respondents. While 35% considered the costs of CS on maternal request to be a public responsibility, 40% suggested use of co-payments ranging from €188- €7,500. Male obstetricians less frequently considered CS on maternal request problematic and were more likely to favor public funding than females. Female obstetricians favored use of co-payments more often than males (64% female vs. 37% male obstetricians, χ(2) = 23.94, p < 0.001) and suggested higher co-payments. The median co-payment was €1,875 for female and €1,250 for male obstetricians (p < 0.001). the study supports the existence of a gender difference concerning obstetricians' responses to patient requested cesarean section. The results indicate that a substantial proportion of obstetricians welcome some form of constraint concerning cesarean section requests in the absence of a medical indication.

  10. [Clinical forms of secondary syphilis in Cameroun].

    PubMed

    Koueke, P; Mvele, E D

    1978-01-01

    Clinical lesions of Secondary Syphilis in Negroes are similar to classical descriptions which confirm what Montel postulated (1972) according to which "Syphilis is almost the same all over"; the essential difference we discovered lies in the frequencies of clinical forms met.

  11. 78 FR 75342 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; NESHAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... Request Submitted to OMB for Review and Approval; Comment Request; NESHAP for Lime Manufacturing (Renewal... Agency has submitted an information collection request (ICR), ``NESHAP for Lime Manufacturing (40 CFR... required semiannually. Form Numbers: None. Respondents/affected entities: Lime manufacturing plants...

  12. 78 FR 19464 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-01

    ... identifiers or contact information. Any associated form(s) for this collection may be located within this same... number, and title. FOR FURTHER INFORMATION CONTACT: To request more information on this proposed... Public Outreach at (703) 695- 3845. Title; Associated Form; and OMB Number: Request for Armed Forces...

  13. 78 FR 118 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-02

    ... form number: NA Forms 13022, 13064, 13068. Type of review: Regular. Affected public: Former Federal... nature of the request. The NA Form 13022, Returned Request Form, is used to request additional information about the former Federal employee. The NA Form 13064, Reply to Request Involving Relief Agencies...

  14. 77 FR 26277 - Agency Information Collection Activities: Final Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... Review and Comments Request. Form Title: EIB 99-14 Export Import Bank Trade Reference form. SUMMARY: The... requesting an emergency approval of Ex-Im Bank form EIB 99-14 Export Import Bank Trade Reference form. Export-Import (Ex- Im) Bank is requesting an emergency approval of form EIB 99-14, Trade Reference Form. This...

  15. 31 CFR 14.4 - Contents of request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... § 14.4 Contents of request. The formal written request shall be in the form of a letter or memorandum... forth that official's name, title, business address and business phone number. The request shall also... order shall be attached to the formal written request. ...

  16. 76 FR 9757 - Information Collection; Submission for OMB Review, Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... information collection request (ICR) consisting of four instruments entitled Request to Transfer a Segal Education Award Amount Form, Accept/Decline Award Transfer Form, Request to Revoke Transfer of Education Award Form, and Rescind Acceptance of Award Transfer Form for review and approval in accordance with the...

  17. 77 FR 14531 - Proposed Collection; Comment Request; Web-Based Assessment of the NHLBI Clinical Studies Support...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-12

    ... Request; Web-Based Assessment of the NHLBI Clinical Studies Support Center (CSSC) SUMMARY: In compliance... the Office of Management and Budget (OMB) for review and approval. Proposed Collection: Title: Web...); coordinating meeting space and logistics for in-person meetings, Web conferences, and teleconferences; managing...

  18. 77 FR 37683 - Proposed Collection; Comment Request; NDAR Data Access Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ... first where the Principal Investigator (PI) completes the entire NDAR Data Access Request form, and the second where the PI has the Research Assistant begin filling out the form and PI provides the final...

  19. 75 FR 22637 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... the form prescribed for use by registered investment companies in certain circumstances to request orders of the Commission declaring that the registration of that investment company cease to be in effect. The form requests, from investment companies seeking a deregistration order, information about (i) the...

  20. 12 CFR 404.4 - Request requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Request requirements. 404.4 Section 404.4 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES INFORMATION DISCLOSURE Procedures for Disclosure of Records Under the Freedom of Information Act. § 404.4 Request requirements. (a) Form. Requests...

  1. Requests Cancer Targets for Monoclonal Antibody Production and Characterization | Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to provide well-characterized monoclonal antibodies to the scientific community, the National Cancer Institute (NCI) Antibody Characterization Program requests cancer-related protein targets for affinity production and distribution. The program from The Office of Cancer Clinical Proteomics Research provides reagents and other critical resources that support protein and/or peptide measurements and analysis.

  2. 28 CFR 47.4 - Written request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Written request. 47.4 Section 47.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) RIGHT TO FINANCIAL PRIVACY ACT § 47.4 Written request. (a) The formal written request shall be in the form of a letter or memorandum to an appropriate...

  3. 78 FR 21130 - Submission for OMB Review; 30-day Comment Request: The Clinical Trials Reporting Program (CTRP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-09

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; 30-day Comment Request: The Clinical Trials Reporting Program (CTRP) Database (NCI) SUMMARY: Under... Program (CTRP) Database, 0925-0600, Expiration Date 3/31/2013--REINSTATEMENT WITH CHANGE, National Cancer...

  4. Reminder: NCI Requests Cancer Targets for Monoclonal Antibody Production and Characterization | Office of Cancer Clinical Proteomics Research

    Cancer.gov

    In an effort to improve rigor and reproducibility, the National Cancer Institute (NCI) Antibody Characterization Program requests cancer-related protein targets for monoclonal antibody production and distribution to the scientific community. The program from The Office of Cancer Clinical Proteomics Research provides well-characterized

  5. 77 FR 4374 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ...) calendar-days of publication of this Notice. OPIC plans to implement this form in Fall 2012. ADDRESSES... Request: Revised form. Title: Request for Registration for Political Risk Insurance. Form Number: OPIC-50... for political risk insurance and collect information for underwriting analysis. Dated: January 20...

  6. 76 FR 49436 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ...) Applicant Requirements. OMB Control Number: 0693-0059. Form Number(s): NIST-1103. Type of Request: Regular... (STEM) fields. This request is for the information collection for form (NIST-1103) that must be...

  7. 78 FR 39282 - Proposed Information Collection Request; Comment Request; Willingness to Pay Survey for Salmon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... the survey, a choice experiment framework is used with statistically designed tradeoff questions... reason for the survey is public value research. All survey responses will be kept confidential. Form... Collection Request; Comment Request; Willingness to Pay Survey for Salmon Recovery in the Willamette...

  8. 75 FR 81244 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... Supplement (DFARS) Part 204, Administrative Matters, and related clauses at DFARS 252.204; DD Form 2051, Request for Assignment of a Commercial and Government Entity (CAGE) Code, and DD Form 2051-1, Request for...

  9. 78 FR 12782 - Notice of Proposed Information Collection; Request for Comments for 1029-0120

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ... information collection request for the Nomination and Request for Payment Form for OSM's Technical Training... Payment Form for OSM Technical Training Courses. OSM is requesting a 3-year term of approval for this... collection activity: Title: Nomination and Request for Payment Form for OSM Technical Training Courses. OMB...

  10. 78 FR 63183 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; Mobile...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... of air conditioning systems and recovery/recycling equipment. Form Numbers: None. Respondents... automotive repair shops, automotive repair shops not elsewhere classified, including air conditioning and... Request Submitted to OMB for Review and Approval; Comment Request; Mobile Air Conditioner Retrofitting...

  11. Plasma Biomarkers Discriminate Clinical Forms of Multiple Sclerosis

    PubMed Central

    Tejera-Alhambra, Marta; Casrouge, Armanda; de Andrés, Clara; Seyfferth, Ansgar; Ramos-Medina, Rocío; Alonso, Bárbara; Vega, Janet; Fernández-Paredes, Lidia; Albert, Matthew L.; Sánchez-Ramón, Silvia

    2015-01-01

    Multiple sclerosis, the most common cause of neurological disability in young population after trauma, represents a significant public health burden. Current challenges associated with management of multiple sclerosis (MS) patients stem from the lack of biomarkers that might enable stratification of the different clinical forms of MS and thus prompt treatment for those patients with progressive MS, for whom there is currently no therapy available. In the present work we analyzed a set of thirty different plasma cytokines, chemokines and growth factors present in circulation of 129 MS patients with different clinical forms (relapsing remitting, secondary progressive and primary progressive MS) and 53 healthy controls, across two independent cohorts. The set of plasma analytes was quantified with Luminex xMAP technology and their predictive power regarding clinical outcome was evaluated both individually using ROC curves and in combination using logistic regression analysis. Our results from two independent cohorts of MS patients demonstrate that the divergent clinical and histology-based MS forms are associated with distinct profiles of circulating plasma protein biomarkers, with distinct signatures being composed of chemokines and growth/angiogenic factors. With this work, we propose that an evaluation of a set of 4 circulating biomarkers (HGF, Eotaxin/CCL11, EGF and MIP-1β/CCL4) in MS patients might serve as an effective tool in the diagnosis and more personalized therapeutic targeting of MS patients. PMID:26039252

  12. 77 FR 4880 - Revision of Form FHWA-1273

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ...] Revision of Form FHWA-1273 AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice; request for comments. SUMMARY: The FHWA is requesting comments on a proposed revision of form FHWA-1273--``Required Contract Provisions Federal-Aid Construction Contracts.'' This form includes certain contract provisions...

  13. 75 FR 8407 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... Request, NA Form 6006, which will be used by NARA employees, on-site contractors, volunteers, Foundation...: Identification Card Request. OMB number: 3095-0057. Agency form number: NA Form 6006. Type of review: Regular...

  14. 78 FR 52190 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; NESHAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ... Submitted to OMB for Review and Approval; Comment Request; NESHAP for Gasoline Distribution Facilities... Protection Agency has submitted an information collection request (ICR), ``NESHAP for Gasoline Distribution... semiannually at a minimum. Form Numbers: None. Respondents/affected entities: Owners or operators of gasoline...

  15. 77 FR 73673 - Notice of Proposed Information Collection; Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ... to request approval to continue the collection of information for one of its Technical Training... approval. This collection is for the OSM Technical Training Nomination and Request for Payment Form (OSM.... Title: Nomination and Request for Payment Form for OSM Technical Training Courses. OMB Control Number...

  16. 29 CFR 19.4 - Contents of request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Secretary of Labor RIGHT TO FINANCIAL PRIVACY ACT § 19.4 Contents of request. The formal written request shall be in the form of a letter or memorandum to an appropriate official of the financial institution..., business address and business phone number. The request shall also contain the following: (a) The identity...

  17. 76 FR 13273 - Request for Service Corporation Activity

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-10

    ... DEPARTMENT OF THE TREASURY Office of Thrift Supervision Request for Service Corporation Activity AGENCY: Office of Thrift Supervision (OTS), Treasury. ACTION: Notice and request for comment. SUMMARY... collection. Title of Proposal: Request for Service Corporation Activity. OMB Number: 1550-0013. Form Numbers...

  18. 78 FR 45923 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; NESHAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... Submitted to OMB for Review and Approval; Comment Request; NESHAP for Automobile and Light-duty Truck... Environmental Protection Agency has submitted an information collection request (ICR), ``NESHAP for Automobile... semiannually at a minimum. Form Numbers: None. Respondents/affected entities: Owners or operators of automobile...

  19. 76 FR 43331 - Labor-Management Relations Information Collection Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... FEDERAL MEDIATION AND CONCILIATION SERVICE Labor-Management Relations Information Collection... the following public information collection requests (ICR) to the Office of Management and Budget (OMB... information collection requests are FMCS forms: Arbitrator's Report and Fee Statement (Agency Form R-19...

  20. 42 CFR 110.44 - Legal or personal representatives of requesters.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... jurisdiction, does not need a legal or personal representative to file a Request Form or Request Package on his... 42 Public Health 1 2011-10-01 2011-10-01 false Legal or personal representatives of requesters... or personal representatives of requesters. (a) Generally. Persons other than a requester (e.g., a...

  1. 78 FR 25091 - Submission for OMB Review; 30-Day Comment Request: Request for Human Embryonic Stem Cell Line To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-29

    ...; 30-Day Comment Request: Request for Human Embryonic Stem Cell Line To Be Approved for Use in NIH... Embryonic Stem Cell Line to be Approved for Use in NIH-Funded Research, 0925-0601, Expiration Date 04/30... Information Collection: The form is used by applicants to request that human embryonic stem cell lines be...

  2. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... (including electronic formats) of the response. The Commission will accommodate requesters as to form or... or format of the response, the Commission will respond in the form or format in which the document is... requests/oral requests. (1) The Commission cannot assure that a timely or satisfactory response will be...

  3. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... (including electronic formats) of the response. The Commission will accommodate requesters as to form or... or format of the response, the Commission will respond in the form or format in which the document is... requests/oral requests. (1) The Commission cannot assure that a timely or satisfactory response will be...

  4. 17 CFR 145.7 - Requests for Commission records and copies thereof.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (including electronic formats) of the response. The Commission will accommodate requesters as to form or... or format of the response, the Commission will respond in the form or format in which the document is... requests/oral requests. (1) The Commission cannot assure that a timely or satisfactory response will be...

  5. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  6. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  7. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  8. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  9. 21 CFR 710.4 - Information requested.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) COSMETICS VOLUNTARY REGISTRATION OF COSMETIC PRODUCT ESTABLISHMENTS § 710.4 Information requested. Form FD-2511 requests information on the name and address of the cosmetic product establishment, including post office...

  10. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  11. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  12. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  13. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  14. 42 CFR 102.46 - Amending a request package.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES VACCINES SMALLPOX...) Requesters who are survivors. If a smallpox vaccine recipient or vaccinia contact submitted a Request Form...) Requests in which benefits are sought by the estate of a deceased smallpox vaccine recipient or vaccinia...

  15. 77 FR 59690 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... uses form SSA-7011-F4 to document the alleged wages. Specifically, the agency uses the form to resolve... benefits. We only send Form SSA-7011-F4 to employers if we are unable to locate the earnings information in... (minutes) (hours) SSA-7011-F4 462,000 1 20 154,000 2. Request for Deceased Individual's Social Security...

  16. 12 CFR 261.15 - Request for confidential treatment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... case of documents filed with a Federal Reserve Bank, with that Federal Reserve Bank) at the time the information is submitted or a reasonable time after submission. (b) Form of request. Each request for... Board shall so indicate on the face of the form or in its instructions. The data may, however, be...

  17. 76 FR 78336 - Proposed Collection; Comment Request for Form 1040 and Schedules A, B, C, C-EZ, D, D-1, E, EIC, F...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-16

    ... Disposition Bond. 8697 X Interest Computation Under the Look-Back Method for Completed Long-Term Contracts... Method for Property Depreciated Under the Income Forecast Method. 8873 X Extraterritorial Income... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form...

  18. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  19. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  20. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  1. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  2. 23 CFR Appendix A to Part 260 - Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422)

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Request for Use of Federal-Aid Highway Funds for Education or Training (Form FHWA-1422) A Appendix A to Part 260 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY INSTITUTE EDUCATION AND TRAINING PROGRAMS Pt. 260, App. A...

  3. 31 CFR 357.28 - Transaction requests.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... BONDS, NOTES AND BILLS HELD IN LEGACY TREASURY DIRECT Legacy Treasury Direct Book-Entry Securities System (Legacy Treasury Direct) § 357.28 Transaction requests. (a) General. Unless otherwise authorized... owner of the security. In addition to any required certification, a transaction request form executed by...

  4. 78 FR 32460 - Comment Request for Information Collection for ETA Form 232, Domestic Agricultural In-Season Wage...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-30

    ...The Department of Labor (Department), as part of its continuing effort to reduce paperwork and respondent burden, conducts a preclearance consultation program to provide the public and Federal agencies with an opportunity to comment on proposed and/or continuing collections of information in accordance with the Paperwork Reduction Act of 1995 [44 U.S.C. 3506(c)(2)(A)]. This program helps ensure that requested data can be provided in the desired format, reporting burden (time and financial resources) is minimized, collection instruments are clearly understood, and the impact of collection requirements on respondents can be properly assessed. Currently, ETA is soliciting comments concerning the collection of data about ETA Form 232, Domestic Agricultural In-Season Wage Report and ETA Form 232-A, Wage Survey Interview Record, OMB Control No. 1205- 0017, both of which expire July 31, 2013. These forms are used by the State Workforce Agencies to collect wage information from agricultural employers.

  5. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... instructions in Supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the... which forms are attached. Block 9: Special Purpose. This block should only be completed when requesting... to the instructions in Supplement No. 1 to part 748 of the EAR. Block 15: Other Party Authorized to...

  6. 15 CFR Supplement No. 1 to Part 752 - Instructions for Completing Form BIS-748P, Multipurpose Application for Requests for Special...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... instructions in Supplement No. 1 to part 748 of the EAR. Block 5: Type of Application. Enter an “x” in the... which forms are attached. Block 9: Special Purpose. This block should only be completed when requesting... to the instructions in Supplement No. 1 to part 748 of the EAR. Block 15: Other Party Authorized to...

  7. 78 FR 70070 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... Background Investigation Information ACTION: 30-Day notice. The Department of Justice (DOJ), Bureau of... the burden of the proposed collection of information, including the validity of the methodology and... Form/Collection: Request for ATF Background Investigation Information. (3) Agency form number, if any...

  8. 76 FR 52956 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... (HPBS) Transmission File Layouts for HPBS Work Measures OMB No.: 0970-0230 Description: There is no... provide us less precise information on States' performance. The Transmission File Layouts form provides... requested to transmit similar files. We are not requesting any changes to the Transmission File Layouts form...

  9. 76 FR 28825 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-18

    ... likely to use the form each year. Most of the information requested on the form should be readily..., Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy... request for extension of the previously approved collection of information discussed below. Section 17(d...

  10. 78 FR 52168 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ... Review; Comment Request ACTION: Notice. The Department of Defense has submitted to OMB for clearance, the.... Title, Associated Form and OMB Number: Request for Armed Forces Participation in Public Events; DD Form... evaluate the eligibility of events to receive Armed Forces community relations support and to determine...

  11. 78 FR 341 - Proposed Information Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-03

    ..., Parkersburg, WV 26106-1328, (304) 480-8150. SUPPLEMENTARY INFORMATION: Form Numbers and Title: PD F 5354--FHA Transaction Request; PD F 5366--FHA New Account Request; PD F 5367--FHA Debenture Transfer Request. OMB Number: 1535-0102. Abstract: The information is used to (1) Establish a book-entry account; (2) change...

  12. 32 CFR 705.21 - Requests for Navy participation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... REGULATIONS AND OFFICIAL RECORDS PUBLIC AFFAIRS REGULATIONS § 705.21 Requests for Navy participation. (a... public events are to be submitted on official request forms (§§ 705.33, 705.34 and 705.36) by the... requests referred to the Chief of Information and to the Office of Assistant Secretary of Defense (Public...

  13. Visual form-processing deficits: a global clinical classification.

    PubMed

    Unzueta-Arce, J; García-García, R; Ladera-Fernández, V; Perea-Bartolomé, M V; Mora-Simón, S; Cacho-Gutiérrez, J

    2014-10-01

    Patients who have difficulties recognising visual form stimuli are usually labelled as having visual agnosia. However, recent studies let us identify different clinical manifestations corresponding to discrete diagnostic entities which reflect a variety of deficits along the continuum of cortical visual processing. We reviewed different clinical cases published in medical literature as well as proposals for classifying deficits in order to provide a global perspective of the subject. Here, we present the main findings on the neuroanatomical basis of visual form processing and discuss the criteria for evaluating processing which may be abnormal. We also include an inclusive diagram of visual form processing deficits which represents the different clinical cases described in the literature. Lastly, we propose a boosted decision tree to serve as a guide in the process of diagnosing such cases. Although the medical community largely agrees on which cortical areas and neuronal circuits are involved in visual processing, future studies making use of new functional neuroimaging techniques will provide more in-depth information. A well-structured and exhaustive assessment of the different stages of visual processing, designed with a global view of the deficit in mind, will give a better idea of the prognosis and serve as a basis for planning personalised psychostimulation and rehabilitation strategies. Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  14. 77 FR 6823 - Proposed Extension of Existing Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-09

    ... Form CA-1122 is requested from the claimant if he or she received a payment for damages without hiring an attorney. Form CA-1108 requests this information from the attorney if one was hired to bring suit... approval of the information collection: Statement of Recovery (SOR) Forms (CA-1108 and CA-1122). A copy of...

  15. 31 CFR 14.4 - Contents of request.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance: Treasury 1 2014-07-01 2014-07-01 false Contents of request. 14.4 Section 14.4 Money and Finance: Treasury Office of the Secretary of the Treasury RIGHT TO FINANCIAL PRIVACY ACT § 14.4 Contents of request. The formal written request shall be in the form of a letter or memorandum to an appropriate official of the financial...

  16. 75 FR 22179 - Proposed Collection; Comment Request for Form 1040 and Schedules A, B, C, C-EZ, D, D-1, E, EIC, F...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ..., OMB assigns a control number to each ``collection of information'' that it reviews and approves for... displays a valid OMB Control Number. Books or records relating to a collection of information must be... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for Form...

  17. Using an adapted form of the picture exchange communication system to increase independent requesting in deafblind adults with learning disabilities.

    PubMed

    Bracken, Maeve; Rohrer, Nicole

    2014-02-01

    The current study assessed the effectiveness of an adapted form of the Picture Exchange Communication System (PECS) in increasing independent requesting in deafblind adults with learning disabilities. PECS cards were created to accommodate individual needs, including adaptations such as enlarging photographs and using swelled images which consisted of images created on raised line drawing paper. Training included up to Phase III of PECS and procedures ensuring generalizations across individuals and contexts were included. The effects of the intervention were evaluated using a multiple baseline design across participants. Results demonstrated an increase in independent requesting with each of the participants reaching mastery criterion. These results suggest that PECS, in combination with some minor adaptations, may be an effective communicative alternative for individuals who are deafblind and have learning impairments. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. 76 FR 47196 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... OMB Review; Comment Request Title: Request for Assistance for Child Victims of Human Trafficking OMB... through the completion of a Request for Assistance for Child Victims of Human Trafficking form will enable... Human Trafficking Estimated Total Annual Burden Hours: 200. Additional Information: Copies of the...

  19. 48 CFR 832.7002 - Electronic payment requests.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Electronic payment... GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Electronic Invoicing Requirements 832.7002 Electronic payment requests. (a) The contractor shall submit payment requests in electronic form unless directed by...

  20. 48 CFR 832.7002 - Electronic payment requests.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Electronic payment... GENERAL CONTRACTING REQUIREMENTS CONTRACT FINANCING Electronic Invoicing Requirements 832.7002 Electronic payment requests. (a) The contractor shall submit payment requests in electronic form unless directed by...

  1. 75 FR 10017 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ... DEPARTMENT OF THE TREASURY Submission for OMB Review; Comment Request March 1, 2010. The Department of the Treasury will submit the following public information collection requirement(s) to OMB for..., Transition Request, and Transfer Request. Form: 5354, 5367, PD F 5366. Description: Used to establish account...

  2. 76 FR 10391 - Agency Information Collection Activities: Proposed Collection; Comments Requested: ARCOS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-24

    ... Collection Activities: Proposed Collection; Comments Requested: ARCOS Transaction Reporting; DEA Form 333... Enforcement Administration (DEA), will be submitting the following information collection request to the... approved collection. (2) Title of the Form/Collection: ARCOS Transaction Reporting--DEA Form 333. (3...

  3. 76 FR 24054 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Registrants...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Collection; Comments Requested: Registrants Inventory of Drugs Surrendered; DEA Form 41 AGENCY: Department of...), Drug Enforcement Administration (DEA) will be submitting the following information collection request... component of the Department sponsoring the collection: Form number: DEA Form 41; component: Office of...

  4. System Resource Allocation Requests | High-Performance Computing | NREL

    Science.gov Websites

    Account to utilize the online allocation request system. If you need a HPC User Account, please request one online: Visit User Accounts. Click the green "Request Account" Button - this will direct . Follow the online instructions provided in the DocuSign form. Write "Need HPC User Account to use

  5. BLOODR: blood donor and requester mobile application

    PubMed Central

    Tatikonda, Vamsi Krishna

    2017-01-01

    Background With rapid increase in the usage of social networks sites across the world, there is also a steady increase in blood donation requests as being noticed in the number of posts on these sites such as Facebook and twitter seeking blood donors. Finding blood donor is a challenging issue in almost every country. There are some blood donor finder applications in the market such as Blood app by Red Cross and Blood Donor Finder application by Neologix. However, more reliable applications that meet the needs of users are prompted. Methods Several software technologies including languages and framework are used to develop our blood-donor web application known as BLOODR application. These technologies comprise Ruby programming language (simply known as Ruby) along with JavaScript and PostgreSQL for database are used. Ruby on Rails (simply known as Rails) is an open source Web framework that makes it possible to quickly and easily create data-based web applications. Results We show screenshots for the BLOODR application for different types of users including requester, donor, and administrator. Various features of the application are described and their needs of use are analyzed. If a patient needs a blood at a clinic, blood donors in vicinity can be contacted through using a clinic management service provided in this application. Registered donors will get notification for the blood requests only if their blood group is compatible with the requested blood type and in the same city/region. Then matching blood donors can go to the requesting clinic and donate. Conclusions BLOODR application provides a reliable platform to connect local blood donors with patients. BLOODR creates a communication channel through authenticated clinics whenever a patient needs blood donation. It is a useful tool to find compatible blood donors who can receive blood request posts in their local area. Clinics can use this web application to maintain the blood donation activity. Future

  6. BLOODR: blood donor and requester mobile application.

    PubMed

    Tatikonda, Vamsi Krishna; El-Ocla, Hosam

    2017-01-01

    With rapid increase in the usage of social networks sites across the world, there is also a steady increase in blood donation requests as being noticed in the number of posts on these sites such as Facebook and twitter seeking blood donors. Finding blood donor is a challenging issue in almost every country. There are some blood donor finder applications in the market such as Blood app by Red Cross and Blood Donor Finder application by Neologix. However, more reliable applications that meet the needs of users are prompted. Several software technologies including languages and framework are used to develop our blood-donor web application known as BLOODR application. These technologies comprise Ruby programming language (simply known as Ruby) along with JavaScript and PostgreSQL for database are used. Ruby on Rails (simply known as Rails) is an open source Web framework that makes it possible to quickly and easily create data-based web applications. We show screenshots for the BLOODR application for different types of users including requester, donor, and administrator. Various features of the application are described and their needs of use are analyzed. If a patient needs a blood at a clinic, blood donors in vicinity can be contacted through using a clinic management service provided in this application. Registered donors will get notification for the blood requests only if their blood group is compatible with the requested blood type and in the same city/region. Then matching blood donors can go to the requesting clinic and donate. BLOODR application provides a reliable platform to connect local blood donors with patients. BLOODR creates a communication channel through authenticated clinics whenever a patient needs blood donation. It is a useful tool to find compatible blood donors who can receive blood request posts in their local area. Clinics can use this web application to maintain the blood donation activity. Future improvement of the BLOODR is explained.

  7. 78 FR 6362 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ... prescribed for use by registered investment companies in certain circumstances to request orders of the Commission declaring that the registration of that investment company cease to be in effect. The form requests information about: (i) The investment company's identity, (ii) the investment company's...

  8. 26 CFR 1.6015-5 - Time and manner for requesting relief.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... equitable relief under § 1.6015-4, a requesting spouse must file Form 8857, “Request for Innocent Spouse Relief” (or other specified form); submit a written statement containing the same information required on Form 8857, which is signed under penalties of perjury; or submit information in the manner prescribed...

  9. 26 CFR 1.6015-5 - Time and manner for requesting relief.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... equitable relief under § 1.6015-4, a requesting spouse must file Form 8857, “Request for Innocent Spouse Relief” (or other specified form); submit a written statement containing the same information required on Form 8857, which is signed under penalties of perjury; or submit information in the manner prescribed...

  10. 32 CFR Appendix B to Part 154 - Request Procedures

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 1 2011-07-01 2011-07-01 false Request Procedures B Appendix B to Part 154 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE SECURITY DEPARTMENT OF DEFENSE... request is for an ENTNANC, an original only of the DD Form 398-2 and a completed DD Form 2280 (Armed...

  11. 32 CFR Appendix B to Part 154 - Request Procedures

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Request Procedures B Appendix B to Part 154 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE SECURITY DEPARTMENT OF DEFENSE... request is for an ENTNANC, an original only of the DD Form 398-2 and a completed DD Form 2280 (Armed...

  12. 43 CFR 3453.2-2 - Forms and statements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MANAGEMENT OF EXISTING LEASES Transfers by Assignment, Sublease or Otherwise § 3453.2-2 Forms and statements. (a) Transfers of any record title interest...) No specific form need be used for requests for approval of transfers. The request for approval shall...

  13. 43 CFR 3453.2-2 - Forms and statements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MANAGEMENT OF EXISTING LEASES Transfers by Assignment, Sublease or Otherwise § 3453.2-2 Forms and statements. (a) Transfers of any record title interest...) No specific form need be used for requests for approval of transfers. The request for approval shall...

  14. 8 CFR 103.40 - Genealogical Research Requests.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Availability of Records § 103.40 Genealogical... historical records relating to a deceased person, usually for genealogy and family history research purposes. (b) Manner of requesting genealogical searches and records. Requests must be submitted on Form G-1041...

  15. 8 CFR 103.40 - Genealogical Research Requests.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Availability of Records § 103.40 Genealogical... historical records relating to a deceased person, usually for genealogy and family history research purposes. (b) Manner of requesting genealogical searches and records. Requests must be submitted on Form G-1041...

  16. Improving patient information - are the new media already requested? - A questionnaire study at a gastroenterology outpatient clinic.

    PubMed

    Walter, Benjamin M; Schmid, Roland M; von Delius, Stefan

    2017-06-01

    Background  Information provided for patients is an essential factor for communication between patients and health-care professionals. To analyze the most used sources of medical information and requested media for patient information, a questionnaire study was initiated. Methods  A single-center questionnaire study at an outpatient clinic at a tertiary care hospital. Two hundred participating patients, average age 54.4 years (1:1.5 m:f). Results were displayed in total and as count per participant (i. e., how often is a medium mentioned per participant). Results  As a source for general information, printed media are mentioned 112 times (0.56 counts per participant), the Internet 125 (0.62), and television 124 (0.62). As a source for medical information, printed media were mentioned 84 times (0.42) and the Internet 133 (0.67). As the most requested source for additional patient information, printed media were mentioned 105 times (0.53) and medical apps 63 (0.32). Conclusion  A majority of our patients regularly use the Internet for medical information. Paper-print media are still highly requested by patients. New media are more often requested in younger patients but still reach the ages for screening programs and therefore offer big opportunities towards patient-doctor communication. By a good mixture of media provided a higher patient satisfaction and adherence could be ensured by the health-care professionals. © Georg Thieme Verlag KG Stuttgart · New York.

  17. A Study of the First Year of the End-of-Life Clinic for Physician-Assisted Dying in the Netherlands.

    PubMed

    Snijdewind, Marianne C; Willems, Dick L; Deliens, Luc; Onwuteaka-Philipsen, Bregje D; Chambaere, Kenneth

    2015-10-01

    Right to Die NL, an organization in the Netherlands that advocates for the option of euthanasia, founded the End-of-Life Clinic in 2012 to provide euthanasia or physician-assisted suicide for patients who meet all legal requirements but whose regular physicians rejected their request. Many patients whose requests are rejected have less common situations, such as a psychiatric or psychological condition, dementia, or being tired of living. To study outcomes of requests for euthanasia or physician-assisted suicide received by the clinic and factors associated with granting or rejecting requests. Analysis of application forms and registration files from March 1, 2012, to March 1, 2013, the clinic's first year of operation, for 645 patients who applied to the clinic with a request for euthanasia or physician-assisted suicide and whose cases were concluded during the study period. A request could be granted, rejected, or withdrawn or the patient could have died before a final decision was reached. We analyzed bivariate and multivariate associations with medical conditions, type of suffering, and sociodemographic variables. Of the 645 requests made by patients, 162 requests (25.1%) were granted, 300 requests (46.5%) were refused, 124 patients (19.2%) died before the request could be assessed, and 59 patients (9.1%) withdrew their requests. Patients with a somatic condition (113 of 344 [32.8%]) or with cognitive decline (21 of 56 [37.5%]) had the highest percentage of granted requests. Patients with a psychological condition had the smallest percentage of granted requests. Six (5.0%) of 121 requests from patients with a psychological condition were granted, as were 11 (27.5%) of 40 requests from patients who were tired of living. Physicians in the Netherlands have more reservations about less common reasons that patients request euthanasia and physician-assisted suicide, such as psychological conditions and being tired of living, than the medical staff working for the End

  18. 76 FR 48807 - Public Key Infrastructure (PKI) Certificate Action Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ...) Certificate Action Form ACTION: Proposed collection; comment request. SUMMARY: The United States Patent and... Certificate Action Form (PTO-2042), which is used by the public to request a new digital certificate, the... applicant. The Certificate Action Form has an accompanying subscriber agreement to ensure that customers...

  19. 75 FR 22636 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... SECURITIES AND EXCHANGE COMMISSION Proposed Collection; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Rule 6a-4, Form 1-N; OMB Control No. 3235-0554; SEC File No. 270-496...

  20. 78 FR 70973 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ... SECURITIES AND EXCHANGE COMMISSION Proposed Collection; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Rule 18f-1 and Form N-18f-1, OMB Control No. 3235-0211, SEC File No...

  1. 75 FR 35852 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... SECURITIES AND EXCHANGE COMMISSION Proposed Collection; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Rule 15Bc3-1 and Form MSD; SEC File No. 270-93; OMB Control No. 3235...

  2. 76 FR 46325 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Red Ribbon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-02

    ... Collection Activities: Proposed Collection; Comments Requested: Red Ribbon Week Patch DEA Form 316 and 316A... Enforcement Administration (DEA) will be submitting the following information collection request to the Office... the collection: Form number: DEA Form 316 and DEA Form 316A. Component: Office of Congressional and...

  3. Anti-Idiotypic Antibodies in Patients with Different Clinical Forms of Paracoccidioidomycosis

    PubMed Central

    Souza, A. R.; Gesztesi, J.-L.; del Negro, G. M. B.; Benard, G.; Sato, J.; Santos, M. V. B.; Abrahão, T. B.; Lopes, J. D.

    2000-01-01

    Paracoccidioidomycosis (PCM) is the most prevalent systemic mycosis in Latin America. Patients with PCM show a wide spectrum of clinical and pathological manifestations depending on both host and pathogen factors. Two clinical forms of the disease are recognized: the acute or juvenile form and the chronic or adult form. The major antigenic component of the parasite is a glycoprotein of 43 kDa (gp43). All patient sera present antibodies against gp43 (anti-gp43) and, as demonstrated before by our group, spontaneous anti-idiotypic (anti-Id) antibodies (Ab2) can be detected in patient sera with high titers of anti-gp43. Since it has been postulated that anti-Id antibodies may have a modulating function, we decided to purify and characterize anti-Id antibodies in this system. The possible correlation of Ab2 titers with different clinical forms of disease was also verified. Results showed that purified human anti-Id antibodies (human Ab2) recognized specifically the idiotype of some murine monoclonal anti-gp43 (17c and 3e) but not others (40.d7, 27a, and 8a). Spontaneous anti-Id antibodies were found in all clinical forms of disease. The majority of patients (88%, n = 8) with the acute form of PCM had high titers of Ab2. However, among patients with the multifocal chronic form of the disease, only 29% (n = 14) had high titers of Ab2; 70% (n = 10) of patients with the unifocal chronic form had low titers of Ab2. A correlation between Ab2 titers and anti-gp43 titers was observed before and during antimycotic treatment. Our results suggest that titers of anti-Id antibodies correlate with the severity of PCM in humans. PMID:10702489

  4. 78 FR 27260 - Comment Request: Antarctic Conservation Act Application Permit Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... Agency, including whether the information shall have practical utility; (b) the accuracy of the Agency's... collection request should be addressed to Suzanne Plimpton, Reports Clearance Officer, National Science... INFORMATION CONTACT: Suzanne Plimpton on (703) 292-7556 or send email to [email protected] . Individuals who...

  5. 78 FR 59341 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-26

    ...: Title, Associated Form and OMB Number: TRICARE Plus Enrollment Application (DD 2853) and TRICARE Plus Disenrollment Request (DD 2854); OMB Control Number 0720-0028. Type of Request: Reinstatement with Change Number...

  6. 12 CFR 404.18 - Requests for correction of records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Requests for correction of records. 404.18 Section 404.18 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES INFORMATION DISCLOSURE Access to Records Under the Privacy Act of 1974 § 404.18 Requests for correction of records. (a) Form. Requests for...

  7. Data standards for clinical research data collection forms: current status and challenges.

    PubMed

    Richesson, Rachel L; Nadkarni, Prakash

    2011-05-01

    Case report forms (CRFs) are used for structured-data collection in clinical research studies. Existing CRF-related standards encompass structural features of forms and data items, content standards, and specifications for using terminologies. This paper reviews existing standards and discusses their current limitations. Because clinical research is highly protocol-specific, forms-development processes are more easily standardized than is CRF content. Tools that support retrieval and reuse of existing items will enable standards adoption in clinical research applications. Such tools will depend upon formal relationships between items and terminological standards. Future standards adoption will depend upon standardized approaches for bridging generic structural standards and domain-specific content standards. Clinical research informatics can help define tools requirements in terms of workflow support for research activities, reconcile the perspectives of varied clinical research stakeholders, and coordinate standards efforts toward interoperability across healthcare and research data collection.

  8. A programmable rules engine to provide clinical decision support using HTML forms.

    PubMed

    Heusinkveld, J; Geissbuhler, A; Sheshelidze, D; Miller, R

    1999-01-01

    The authors have developed a simple method for specifying rules to be applied to information on HTML forms. This approach allows clinical experts, who lack the programming expertise needed to write CGI scripts, to construct and maintain domain-specific knowledge and ordering capabilities within WizOrder, the order-entry and decision support system used at Vanderbilt Hospital. The clinical knowledge base maintainers use HTML editors to create forms and spreadsheet programs for rule entry. A test environment has been developed which uses Netscape to display forms; the production environment displays forms using an embedded browser.

  9. 76 FR 49836 - Proposed Collection; Comment Request for Form 8621-A

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... Foreign Investment Company. DATES: Written comments should be received on or before October 11, 2011 to be...: Return by a Shareholder Making Certain Late Elections To End Treatment as a Passive Foreign Investment... taxpayers/ shareholders who are investors in passive foreign investment companies (PFIC's) to request late...

  10. 5 CFR 2502.6 - How to request records-form and content.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PRESIDENT AVAILABILITY OF RECORDS Production or Disclosure of Records Under the Freedom of Information Act... or official who receives an oral request made under the FOIA shall inform the person making the... reasonably descriptive, or requires the production of voluminous records, or places an extraordinary burden...

  11. 77 FR 12079 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Crime Victim...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ... Collection; Comments Requested: Crime Victim Compensation State Certification Form Request ACTION: 30-Day... Programs (OJP), Office for Victims of Crime (OVC) will be submitting the following information collection...: Crime Victim Compensation State Certification Form. (3) Agency form number, if any, and the applicable...

  12. 76 FR 58083 - Proposed Collections; Comment Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... Treasury is soliciting comments concerning Treasury International Capital (TIC) Form BL-2, Report by... proposed forms and instructions are available on the Treasury's TIC Forms webpage, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be...

  13. Appropriateness of tumor marker request: a case of study

    PubMed Central

    Trevisiol, Chiara; Fabricio, Aline S. C.

    2017-01-01

    Appropriateness is crucial to provide efficient and high-quality health services at affordable costs. Laboratory medicine is a sector of special interest for the investigation of inappropriateness, due to the high rate of technological innovation and its pivotal role in many diseases and clinical settings. Some subjective aspects related to either the patient or physician seem to have a major role on inappropriateness rates. Given the psychological impact of cancer on both patients and physicians, tumor markers represent a case of study for appropriateness. The assessment of inappropriateness of laboratory tests has been focused mainly on ordering patterns. Appropriateness can barely be appraised by matching the requested test with the clinical problem because clinical information on the test requisition form is usually inadequate. Monitoring inappropriateness through individual clinical information may be feasible in inpatient (clinical data are available), while an indirect approach should be used for outpatients. To estimate inappropriateness in outpatients our group developed innovative models based on comparison between the actually ordered and expected requests of tumor marker, calculated according to recommendations of clinical practice guidelines (CPGs) applied to figures of cancer prevalence. The implementation of the model at national scale in Italy led to recognize a very high rate of overordering of tumor markers. The model was further focused by a dedicated algorithm to be adapted to different clinical conditions or organizational settings by applying performance indicators to cohort-wide structured information in electronic health records (EHRs). With this novel approach, we showed that inappropriateness is multifaceted even within the specific category of tumour markers. The model was effective in identifying both over- and underordering. Implementation of evidence based information and monitoring their impact on the clinical practice are parts of

  14. 77 FR 67834 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-14

    ... for OMB Review; Comment Request; Health Insurance Claim Form ACTION: Notice. SUMMARY: The Department... information collection request (ICR) revision titled, ``Health Insurance Claim Form,'' (Form OWCP-1500) to the... submission of responses. Agency: DOL-OWCP. Title of Collection: Health Insurance Claim Form. OMB Control...

  15. 75 FR 9608 - National Protection and Programs Directorate; Technical Assistance Request and Evaluation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-03

    ... Directorate; Technical Assistance Request and Evaluation AGENCY: National Protection and Programs Directorate... assistance requests from each State and territory. OEC will use the Technical Assistance Evaluation Form to... electronically. Evaluation forms may be submitted electronically or in paper form. The Office of Management and...

  16. 77 FR 60022 - Proposed Collection; Comment Request for Information Collection Tools

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... Information Collection Tools AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for... C (Form 1040), Profit or Loss From Business; Form 8907, Nonconventional Source Fuel Credit; and REG... CONTACT: Requests for additional information or copies of the collection tools should be directed to R...

  17. Constructing and Communicating Privacy Boundaries: How Family Medicine Physicians Manage Patient Requests for Religious Disclosure in the Clinical Interaction.

    PubMed

    Canzona, Mollie Rose; Peterson, Emily Bylund; Villagran, Melinda M; Seehusen, Dean A

    2015-01-01

    Religion/spirituality (R/S) is an important component of some patients' psychosocial framework when facing illness. While many patients report an increased desire for R/S dialogue in clinical interaction, especially when facing a frightening diagnosis, some physicians report discomfort talking about R/S and hold various beliefs regarding the appropriateness of such discussions. Not only do physicians manage conversations centering on patient disclosures in the clinical visit, they must also navigate requests to share their own personal information. Farber et al. (2000) found that over a 12-month period nearly 40% of physicians reported that patients asked questions that transgressed professional boundaries. This article uses Petronio's communication privacy management theory as a lens through which to situate our understanding of how family medicine physicians construct and communicate privacy boundaries in response to patient requests for religious disclosure. Results provide an in-depth theoretical understanding of issues surrounding religious disclosure in the medical visit and expand the discussion on health care providers' personal and professional privacy boundaries as documented by Petronio and Sargent (2011). Implications for health care training and practice are discussed.

  18. 78 FR 76378 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ... collection techniques or other forms of information technology. Mail, email, or fax your comments and...-approved information collection. Time Burden--Participating Companies Average Total Number of Frequency of... SOCIAL SECURITY ADMINISTRATION Agency Information Collection Activities: Proposed Request and...

  19. 76 FR 58086 - Proposed Collections; Comment Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... Treasury is soliciting comments concerning Treasury International Capital (TIC) Form BQ-3, Report of... proposed forms and instructions are available on the Treasury's TIC Forms Web page, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be...

  20. 76 FR 60133 - Proposed Information Collection (Request for Supplies (Chapter 31-Vocational Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... (Request for Supplies (Chapter 31--Vocational Rehabilitation)); Comment Request AGENCY: Veterans Benefits... to determine whether supplies requested for a veteran's rehabilitation program are necessary. DATES.... Title: Request for Supplies (Chapter 31--Vocational Rehabilitation), VA Form 28-1905m. OMB Control...

  1. 12 CFR 1215.8 - Timing and form of demands and requests.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... section. (g) Every demand or request must include the legal proceeding's caption and docket number, the forum; the name, address, phone number, State Bar number, and, if available, electronic mail address of..., address, phone number, and electronic mail address of the pro-se party); and a statement of the demanding...

  2. A programmable rules engine to provide clinical decision support using HTML forms.

    PubMed Central

    Heusinkveld, J.; Geissbuhler, A.; Sheshelidze, D.; Miller, R.

    1999-01-01

    The authors have developed a simple method for specifying rules to be applied to information on HTML forms. This approach allows clinical experts, who lack the programming expertise needed to write CGI scripts, to construct and maintain domain-specific knowledge and ordering capabilities within WizOrder, the order-entry and decision support system used at Vanderbilt Hospital. The clinical knowledge base maintainers use HTML editors to create forms and spreadsheet programs for rule entry. A test environment has been developed which uses Netscape to display forms; the production environment displays forms using an embedded browser. Images Figure 1 PMID:10566470

  3. 77 FR 37869 - Agency Information Collection Activities: Proposed Collection; Comment Request-National Hunger...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ...: Proposed Collection; Comment Request--National Hunger Clearinghouse Database Form AGENCY: Food and... Database Form. Form: FNS 543. OMB Number: 0584-0474. Expiration Date: 8/31/2012. Type of Request: Revision... Clearinghouse includes a database (FNS-543) of non- governmental, grassroots programs that work in the areas of...

  4. [Primary hyperparathyroidism - new clinical forms of the disease].

    PubMed

    Zajíčková, Kateřina

    Primary hyperparathyroidism (PHPT) has been increasingly diagnosed incidentally in its asymptomatic form owing to calcium screening tests. This form of PHPT represents 80% in developed countries. Although PHPT patients are asym-ptomatic, target organ (bone and kidney) involvement is frequently observed. Mild PHPT is associated with a reduction of bone mineral densityand, moreover, with increased risk of vertebral fractures. The extent of a patient evaluation and indications for parathyroidectomy are based on expert guidelines from 2014. Normocalcemic variant of PHPT has been recently recognized, possibly with higher prevalence in general population than the hypercalcemic form of PHPT. Normal but with respect to hypercalcemia inadequately high parathormon levels characterize normohormonal PHPT. If a hereditary form of PHPT is suspected, genetic testing is recommended. Although there are new clinical forms of PHPT, parathyroidectomy still represents the only curative approach to PHPT followed by substantial osteoprotective effect.Key words: asymptomatic form - normocalcemic form - normohormonal form - parathyroidectomy - primary hyperparathyroidism - recent guidelines for the management PHPT.

  5. Using Lean methodologies to streamline processing of requests for durable medical equipment and supplies for children with complex conditions.

    PubMed

    Fields, Elise; Neogi, Smriti; Schoettker, Pamela J; Lail, Jennifer

    2017-12-12

    An improvement team from the Complex Care Center at our large pediatric medical center participated in a 60-day initiative to use Lean methodologies to standardize their processes, eliminate waste and improve the timely and reliable provision of durable medical equipment and supplies. The team used value stream mapping to identify processes needing improvement. Improvement activities addressed the initial processing of a request, provider signature on the form, returning the form to the sender, and uploading the completed documents to the electronic medical record. Data on lead time (time between receiving a request and sending the completed request to the Health Information Management department) and process time (amount of time the staff worked on the request) were collected via manual pre- and post-time studies. Following implementation of interventions, the median lead time for processing durable medical equipment and supply requests decreased from 50 days to 3 days (p < 0.0001). Median processing time decreased from 14min to 9min (p < 0.0001). The decrease in processing time realized annual cost savings of approximately $11,000. Collaborative leadership and multidisciplinary training in Lean methods allowed the CCC staff to incorporate common sense, standardize practices, and adapt their work environment to improve the timely and reliable provision of equipment and supplies that are essential for their patients. The application of Lean methodologies to processing requests for DME and supplies could also result in a natural spread to other paperwork and requests, thus avoiding delays and potential risk for clinical instability or deterioration. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. One-Time Password Registration Key Code Request | High-Performance

    Science.gov Websites

    Computing | NREL One-Time Password Registration Key Code Request One-Time Password Registration Key Code Request Use this form to request a one-time password (OTP) registration key code for using . Alternate Email In case there is a second email where we might contact you Phone In case we need to contact

  7. Request Strategies in British English and Japanese.

    ERIC Educational Resources Information Center

    Fukushima, Saeko

    1996-01-01

    Tests request strategies used by speakers of Japanese and British English in two culturally neutral situations likely to trigger a request. Concludes that the degree of imposition goes on a par with the number of politeness strategies but that there are differences in the types of strategies used: the British use conventional forms and supportive…

  8. 7 CFR 3430.12 - Requests for applications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... applicable. (13) Directions for obtaining additional requests for applications and application forms. (14) Information about how to obtain application forms and the instructions for completing such forms. (15... of the application evaluation Process. (17) Specific evaluation criteria used in the review Process...

  9. Familial forms of diabetes insipidus: clinical and molecular characteristics.

    PubMed

    Babey, Muriel; Kopp, Peter; Robertson, Gary L

    2011-07-05

    Over the past two decades, the genetic and molecular basis of familial forms of diabetes insipidus has been elucidated. Diabetes insipidus is a clinical syndrome characterized by the excretion of abnormally large volumes of diluted urine (polyuria) and increased fluid intake (polydipsia). The most common type of diabetes insipidus is caused by lack of the antidiuretic hormone arginine vasopressin (vasopressin), which is produced in the hypothalamus and secreted by the neurohypophysis. This type of diabetes insipidus is referred to here as neurohypophyseal diabetes insipidus. The syndrome can also result from resistance to the antidiuretic effects of vasopressin on the kidney, either at the level of the vasopressin 2 receptor or the aquaporin 2 water channel (which mediates the re-absorption of water from urine), and is referred to as renal or nephrogenic diabetes insipidus. Differentiation between these two types of diabetes insipidus and primary polydipsia can be difficult owing to the existence of partial as well as complete forms of vasopressin deficiency or resistance. Seven different familial forms of diabetes insipidus are known to exist. The clinical presentation, genetic basis and cellular mechanisms responsible for them vary considerably. This information has led to improved methods of differential diagnosis and could provide the basis of new forms of therapy.

  10. Factors which influence necropsy requests: a psychological approach.

    PubMed Central

    Start, R. D.; Hector-Taylor, M. J.; Cotton, D. W.; Startup, M.; Parsons, M. A.; Kennedy, A.

    1992-01-01

    AIMS: To determine which factors influence a clinician's decision to request a necropsy. METHODS: Patient age, confidence in premortem diagnosis, relatives' attitudes, and conditions of necropsy practice were combined factorially (two levels each) in separate medical and surgical questionnaires based on clinical case histories. The interactions between the factors were measured by a repeated measures factorial analysis of variance for each of the two clinical groups. The influence of the clinician's interest in necropsies on these interactions was also examined by a similar method. RESULTS: Necropsies were more likely to be requested on young patients, when diagnostic confidence was low, and when relatives' attitudes were favourable. Conditions of necropsy practice did not affect the likelihood of a request and there was no apparent overall difference in necropsy requests between the two groups of clinicians. The "patient age" and "relatives" factors had less influence on the decision of the surgical group to request necropsy. This was attributed to the opportunity to "see for themselves" at operation and was supported by the finding that surgeons were very likely to request necropsies in the absence of surgical intervention. Clinicians from both groups with a high pre-existing interest in the necropsy were consistently more likely to request necropsies. CONCLUSIONS: The "case history" based questionnaires successfully measured the relative influence of multiple factors in relation to the decision of clinicians to request a necropsy. These findings suggest that any attempt to reverse the decline in necropsy rates should focus on changing the clinician's perception of the value of the modern necropsy. PMID:1556237

  11. 78 FR 7763 - Information Collection; Submission for OMB Review, Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... (ICR) entitled National Service Trust Voucher & Payment Request Form for review and approval in accordance with the Paperwork Reduction Act of 1995, Public Law 104-13, (44 U.S.C. Chapter 35). Copies of...: CNCS is seeking approval of the National Service Trust Voucher & Payment Request Form, which is used by...

  12. 48 CFR 208.7005 - Military interdepartmental purchase requests.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Military interdepartmental... Coordinated Acquisition 208.7005 Military interdepartmental purchase requests. Follow the procedures at— (a) PGI 253.208-1 when using DD Form 448, Military Interdepartmental Purchase Request; and (b) PGI 253.208...

  13. 77 FR 9259 - Agency Information Collection Activities: Forms G-1041 and G-1041A, Extension of a Currently...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-16

    ..., Genealogy Index Search Request and Genealogy Records Request. The Department of Homeland Security, U.S... the Forms/Collections: Genealogy Index Search Request and Genealogy Records Request. (3) Agency form.... USCIS will use these forms will to facilitate an accurate and timely response to genealogy index search...

  14. [Clinical and neurophysiological aspects of severe forms of autism in children].

    PubMed

    Simashkova, N V; Iakupova, L P; Bashina, V M

    2006-01-01

    The aim of the study was to elucidate fundamentals for the phenomenon of universality of childhood autism by comparison of clinical and neurophysiological features of its severest forms--children endogenous autism (CEA) and Rett's syndrome (RS). Each group included 20 patients. Both groups were similar by age-at-disease-onset, clinical appearances during the disease course and dynamics of psychopathological syndromes. The theta-rhythm is common for CEA and RS at the disease stage with marked signs of disease acuity, autism, regress and, therefore, may be regarded as a marker of severity and development delay. The universality of autism phenomenon in its severe forms was confirmed both at the clinical and neurophysiological levels.

  15. Web-Based Requesting and Scheduling Use of Facilities

    NASA Technical Reports Server (NTRS)

    Yeager, Carolyn M.

    2010-01-01

    Automated User's Training Operations Facility Utilization Request (AutoFUR) is prototype software that administers a Web-based system for requesting and allocating facilities and equipment for astronaut-training classes in conjunction with scheduling the classes. AutoFUR also has potential for similar use in such applications as scheduling flight-simulation equipment and instructors in commercial airplane-pilot training, managing preventive- maintenance facilities, and scheduling operating rooms, doctors, nurses, and medical equipment for surgery. Whereas requesting and allocation of facilities was previously a manual process that entailed examination of documents (including paper drawings) from different sources, AutoFUR partly automates the process and makes all of the relevant information available via the requester s computer. By use of AutoFUR, an instructor can fill out a facility-utilization request (FUR) form on line, consult the applicable flight manifest(s) to determine what equipment is needed and where it should be placed in the training facility, reserve the corresponding hardware listed in a training-hardware inventory database, search for alternative hardware if necessary, submit the FUR for processing, and cause paper forms to be printed. Auto-FUR also maintains a searchable archive of prior FURs.

  16. 77 FR 70826 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Uniform...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... for OMB Review; Comment Request; Uniform Billing Form ACTION: Notice. SUMMARY: The Department of Labor... collection request (ICR) revision titled, ``Uniform Billing Form,'' (Form OWCP-04) to the Office of.... In addition, notwithstanding any other provisions of law, no person shall generally be subject to...

  17. 75 FR 71675 - Notice of Proposed Information Collection Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... Education (ED) 524 Form. Frequency of Responses: New Awards. Affected Public: Businesses or other for-profit... DEPARTMENT OF EDUCATION Notice of Proposed Information Collection Requests AGENCY: Department of Education. ACTION: Comment Request. SUMMARY: The Department of Education (the Department), in accordance...

  18. 78 FR 53736 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-30

    ...: Title, Associated Form and OMB Number: Defense Industrial Base Cyber Security/Information Assurance (DIB CS/IA) Cyber Incident Reporting; OMB Control Number 0704-0489. Type of Request: Reinstatement without.... The requested information supports the collaborative cyber threat information sharing and incident...

  19. 77 FR 8298 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... registration statements (see the separate PRA submissions for Form N-3 (3235-0316), Form N-4 (3235-0318) and Form N-6 (3235-0503). The Commission is requesting a burden of one hour for Rule 11a-2 for... submissions for Form N-3, Form N-4 and Form N-6). The information collection requirements imposed by Rule 11a...

  20. 75 FR 39620 - Proposed Information Collection (Dependents' Educational Assistance (DEA) Election Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-09

    ... (Dependents' Educational Assistance (DEA) Election Request) Activity: Comment Request AGENCY: Veterans... veterans beginning date to start their DEA benefits. DATES: Written comments and recommendations on the.... Title: Dependents' Educational Assistance (DEA) Election Request, VA Form Letter 22-909. OMB Control...

  1. 78 FR 17778 - Proposed Information Collection (Dependents' Educational Assistance (DEA) Election Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... (Dependents' Educational Assistance (DEA) Election Request) Activity: Comment Request AGENCY: Veterans... veterans beginning date to start their DEA benefits. DATES: Written comments and recommendations on the.... Title: Dependents' Educational Assistance (DEA) Election Request, VA Form Letter 22-909. OMB Control...

  2. 76 FR 56875 - Proposed Collections; Comment Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ... and instructions are available on the Treasury's TIC Forms webpage, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be directed to... Number: 1505-0199. Abstract: Form D is part of the Treasury International Capital (TIC) reporting system...

  3. 40 CFR 350.27 - Substantiation form to accompany claims of trade secrecy, instructions to substantiation form.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy Claims § 350.27 Substantiation form to... Secret Substantiation Form General Information EPA requires that the information requested in a trade secret substantiation be completed using this substantiation form in order to ensure that all facility...

  4. 40 CFR 350.27 - Substantiation form to accompany claims of trade secrecy, instructions to substantiation form.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy Claims § 350.27 Substantiation form to... Secret Substantiation Form General Information EPA requires that the information requested in a trade secret substantiation be completed using this substantiation form in order to ensure that all facility...

  5. 40 CFR 350.27 - Substantiation form to accompany claims of trade secrecy, instructions to substantiation form.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy Claims § 350.27 Substantiation form to... Secret Substantiation Form General Information EPA requires that the information requested in a trade secret substantiation be completed using this substantiation form in order to ensure that all facility...

  6. 40 CFR 350.27 - Substantiation form to accompany claims of trade secrecy, instructions to substantiation form.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy Claims § 350.27 Substantiation form to... Secret Substantiation Form General Information EPA requires that the information requested in a trade secret substantiation be completed using this substantiation form in order to ensure that all facility...

  7. 40 CFR 350.27 - Substantiation form to accompany claims of trade secrecy, instructions to substantiation form.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy Claims § 350.27 Substantiation form to... Secret Substantiation Form General Information EPA requires that the information requested in a trade secret substantiation be completed using this substantiation form in order to ensure that all facility...

  8. 78 FR 70069 - Agency Information Collection Activities; Proposed New Collection; Comments Requested: Drug...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... Collection; Comments Requested: Drug Endangered Children Tracking System User Survey ACTION: 60-day notice... technological collection techniques or other forms of information technology, e.g., permitting electronic... new collection; comments requested. (2) Title of the Form/Collection: Drug Endangered Children...

  9. 77 FR 56842 - Labor-Management Relations Information Collection Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-14

    ... FEDERAL MEDIATION AND CONCILIATION SERVICE Labor-Management Relations Information Collection... the following public information collection request (ICR) to the Office of Management and Budget (OMB... information collection request is the Notice to Mediation Agencies (Agency Form F-7), OMB control number 3076...

  10. 78 FR 59720 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Training...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... Request for Non-ATF Employees ACTION: 30-Day notice. The Department of Justice (DOJ), Bureau of Alcohol... information is necessary for the proper performance of the functions of the agency, including whether the... Form/Collection: Training Registration Request for Non-ATF Employees. (3) Agency form number, if any...

  11. 36 CFR 60.11 - Requests for nominations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and appears to meet the National Register criteria for evaluation in § 60.4. If the nomination form is... any person or organization submitting a completed National Register nomination form or requesting consideration for any previously prepared nomination form on record with the State or Federal agency. The...

  12. 76 FR 58087 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... and instructions are available on the Treasury's TIC Forms Web page, http://www.treasury.gov/resource-center/data-chart-center/tic/Pages/forms.aspx . Requests for additional information should be directed to... Number: 1505-0016. Abstract: Form BQ-1 is part of the Treasury International Capital (TIC) reporting...

  13. 76 FR 27060 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Title: Request for Assistance for Child Victims of Human... (alien) child may have been subjected to a severe form of trafficking in persons and is seeking Federal...

  14. 77 FR 60484 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... information so that they can assess the performance of the investment vehicle or stock plan. Form 11-K is... SECURITIES AND EXCHANGE COMMISSION Submission for OMB Review; Comment Request Upon Written Request Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy...

  15. 77 FR 65047 - Agency Information Collection Activities: Proposed Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-24

    ...-0742. SSA allows certain previously entitled disability beneficiaries to request expedited... statement from individuals requesting an EXR of their title II disability benefits, and (2) proof the requestors meet the EXR requirements. SSA maintains the form in the disability folder of the applicant to...

  16. 75 FR 47029 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... currently approved information collection used by customers/researchers for ordering reproductions of NARA's... bodies of records. NARA uses the Item Approval Request List form to track reproduction requests and to...

  17. How novice, skilled and advanced clinical researchers include variables in a case report form for clinical research: a qualitative study

    PubMed Central

    Chu, Hongling; Zeng, Lin; Fetters, Micheal D; Li, Nan; Tao, Liyuan; Shi, Yanyan; Zhang, Hua; Wang, Xiaoxiao; Li, Fengwei; Zhao, Yiming

    2017-01-01

    Objectives Despite varying degrees in research training, most academic clinicians are expected to conduct clinical research. The objective of this research was to understand how clinical researchers of different skill levels include variables in a case report form for their clinical research. Setting The setting for this research was a major academic institution in Beijing, China. Participants The target population was clinical researchers with three levels of experience, namely, limited clinical research experience, clinicians with rich clinical research experience and clinical research experts. Methods Using a qualitative approach, we conducted 13 individual interviews (face to face) and one group interview (n=4) with clinical researchers from June to September 2016. Based on maximum variation sampling to identify researchers with three levels of research experience: eight clinicians with limited clinical research experience, five clinicians with rich clinical research experience and four clinical research experts. These 17 researchers had diverse hospital-based medical specialties and or specialisation in clinical research. Results Our analysis yields a typology of three processes developing a case report form that varies according to research experience level. Novice clinician researchers often have an incomplete protocol or none at all, and conduct data collection and publication based on a general framework. Experienced clinician researchers include variables in the case report form based on previous experience with attention to including domains or items at risk for omission and by eliminating unnecessary variables. Expert researchers consider comprehensively in advance data collection and implementation needs and plan accordingly. Conclusion These results illustrate increasing levels of sophistication in research planning that increase sophistication in selection for variables in the case report form. These findings suggest that novice and intermediate

  18. 76 FR 14400 - Agency Information Collection Request; 60-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-16

    ...) the use of automated collection techniques or other forms of information technology to minimize the.... Proposed Project: National Survey of Single Parent Caregivers--OMB No. 0990-NEW-OWH; HHS, Office on Women's... under a one-year request, and will contact individuals using computer-assisted telephone interviewing...

  19. 77 FR 16818 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... forms of information technology. DATES: Consideration will be given to all comments received by May 21... Number: 0704-TBD. Needs and Uses: The Application of Child Care Services Form, DLA Form 1854, is used to request child care services provided by DLA managed facilities. Enrollee records are provided to the Child...

  20. 77 FR 10558 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-22

    ..., or Similar Organization (Form EOIR-31) ACTION: 60-Day notice of information collection under review... DEPARTMENT OF JUSTICE [OMB Number 1125-0012] Agency Information Collection Activities; Proposed... following information collection request to the Office of Management and Budget (OMB) for review and...

  1. 77 FR 25196 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ..., or Similar Organization (Form EOIR-31) ACTION: 30-Day notice of information collection under review... DEPARTMENT OF JUSTICE [OMB Number 1125-0012] Agency Information Collection Activities: Proposed... following information collection request to the Office of Management and Budget (OMB) for review and...

  2. 77 FR 38062 - Proposed Agency Information Collection Activities; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-26

    ... FEDERAL MEDIATION AND CONCILIATION SERVICE Proposed Agency Information Collection Activities; Comment Request AGENCY: Federal Mediation and Conciliation Service. ACTION: Notice of request for renewal of previously approved collection form FMCS F-7. SUMMARY: The Federal Mediation and Conciliation...

  3. 78 FR 22252 - Agency Information Collection Activities; Comment Request; FFEL/Direct Loan/Perkins Military...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ...; Comment Request; FFEL/ Direct Loan/Perkins Military Service Deferment/Post-Active Duty Student Deferment... Deferment/Post-Active Duty Student Deferment Request & SCRA Request. OMB Control Number: 1845-0080. Type of...: 9,177. Abstract: The Military Service/Post-Active Duty Student Deferment request form serves as the...

  4. 49 CFR 191.19 - Report forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... forms. Copies of the prescribed report forms are available without charge upon request from the address... 49 Transportation 3 2010-10-01 2010-10-01 false Report forms. 191.19 Section 191.19 Transportation... size and kind of paper. In addition, the information required by these forms may be submitted by any...

  5. 49 CFR 195.62 - Supplies of accident report DOT Form 7000-1.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Department will, upon request, furnish specimen copies of the form. Requests should be addressed to the... 49 Transportation 3 2010-10-01 2010-10-01 false Supplies of accident report DOT Form 7000-1. 195... Reporting § 195.62 Supplies of accident report DOT Form 7000-1. Each operator shall maintain an adequate...

  6. Partial Treatment Requests and Underlying Motives of Applicants for Gender Affirming Interventions.

    PubMed

    Beek, Titia F; Kreukels, Baudewijntje P C; Cohen-Kettenis, Peggy T; Steensma, Thomas D

    2015-11-01

    Historically, only individuals with a cross-gender identity who wanted to receive a full treatment, were eligible for "complete sex reassignment" consisting of feminizing/masculinizing hormone treatment and several surgical interventions including genital surgery (full treatment). Currently, it is unclear what motives underlie a request for hormones only or surgery only or a combination of hormones and surgery (e.g., a mastectomy), but no genital surgery (partial treatment). The aims of this study were (i) to describe treatment requests of applicants at a specialized gender identity clinic in the Netherlands; and (ii) to explore the motives underlying a partial treatment request, including the role of (non-binary) gender identity. Information was collected on all 386 adults who applied for treatment at the Center of Expertise on Gender Dysphoria of the VU University Medical Center in Amsterdam, the Netherlands, in the year 2013. Treatment requests were available for 360 individuals: 233 natal men (64.7%) and 127 natal women (35.3%). Treatment requests were systematically collected during assessment. Individuals were classified as either desiring a full or partial treatment. The motives behind a partial treatment request were collected and categorized as well. The majority of applicants at our gender identity clinic requested full treatment. Among those who requested partial treatment, the most reported underlying motive was surgical risks/outcomes. Only a small number of applicants requested partial treatment to bring their body into alignment with their non-binary gender identity. It becomes clear that partial treatment is requested by a substantial number of applicants. This emphasizes the need for gender identity clinics to provide information about the medical possibilities and limitations, and careful introduction and evaluation of non-standard treatment options. © 2015 International Society for Sexual Medicine.

  7. 77 FR 36574 - Agency Information Collection Activities; Proposed collection, comments requested: Leased/Charter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... collection, comments requested: Leased/Charter Flight Personnel Expedited Clearance Request ACTION: 30-day... collection: New collection. 2. The title of the form/collection: Leased/Charter Flight Personnel Expedited.... This form is to be completed by people applying to become contract flight crew members. It is required...

  8. Patient-initiated electronic health record amendment requests

    PubMed Central

    Hanauer, David A; Preib, Rebecca; Zheng, Kai; Choi, Sung W

    2014-01-01

    Background and objective Providing patients access to their medical records offers many potential benefits including identification and correction of errors. The process by which patients ask for changes to be made to their records is called an ‘amendment request’. Little is known about the nature of such amendment requests and whether they result in modifications to the chart. Methods We conducted a qualitative content analysis of all patient-initiated amendment requests that our institution received over a 7-year period. Recurring themes were identified along three analytic dimensions: (1) clinical/documentation area, (2) patient motivation for making the request, and (3) outcome of the request. Results The dataset consisted of 818 distinct requests submitted by 181 patients. The majority of these requests (n=636, 77.8%) were made to rectify incorrect information and 49.7% of all requests were ultimately approved. In 6.6% of the requests, patients wanted valid information removed from their record, 27.8% of which were approved. Among all of the patients requesting a copy of their chart, only a very small percentage (approximately 0.2%) submitted an amendment request. Conclusions The low number of amendment requests may be due to inadequate awareness by patients about how to make changes to their records. To make this approach effective, it will be important to inform patients of their right to view and amend records and about the process for doing so. Increasing patient access to medical records could encourage patient participation in improving the accuracy of medical records; however, caution should be used. PMID:24863430

  9. 75 FR 49936 - Notice of Request for Public Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-16

    ... civil rights clearances, should be granted equal access to quality health care, regardless of race... within 60-days. Proposed Project: The Civil Rights Information Request Form--OMB No. 0990-0243- Extension-Office for Civil Rights. Abstract: The Office of Civil Rights is requesting a 3 year extension of the...

  10. 75 FR 57465 - Agency Information Collection Activities: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-21

    ... EXPORT-IMPORT BANK OF THE U.S. [Public Notice 2010-0036] Agency Information Collection Activities: Comment Request AGENCY: Export-Import Bank of the U.S. ACTION: Submission for OMB Review and Comments Request. Form Title: U.S. Beneficiary Certificate and Agreement EIB 92-37. SUMMARY: The Export-Import Bank...

  11. 75 FR 39287 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-08

    ... SECURITIES AND EXCHANGE COMMISSION Submission for OMB Review; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Rule 6a-4, Form 1-N; OMB Control No. 3235-0554; SEC File No. 270-496...

  12. 78 FR 52586 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... SECURITIES AND EXCHANGE COMMISSION Submission for OMB Review; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Rule 15Ba2-1 and Form MSD, SEC File No. 270-0088, OMB Control No. 3235...

  13. 78 FR 52586 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... SECURITIES AND EXCHANGE COMMISSION Submission for OMB Review; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Rule 15Bc3-1 and Form MSDW; SEC File No. 270-93, OMB Control No. 3235...

  14. 76 FR 74838 - Agency Information Collection Activities: Proposed Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-01

    ... their disability or resources that might influence SSA's unfavorable determination. We may use the... hearing to appeal the decision. To request a hearing, individuals use Form HA-501, the associated... request within the prescribed time; is the proper party; and has taken the steps necessary to obtain the...

  15. 76 FR 7532 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-10

    ... Requirements. OMB Control Number: 0648-0351. Form Number(s): NA. Type of Request: Regular submission (extension... the gear is to be marked for the purposes of visibility (e.g., buoys, radar reflectors, or other... DEPARTMENT OF COMMERCE Submission for OMB Review; Comment Request The Department of Commerce will...

  16. 78 FR 57219 - Proposed Collection; Comment Request for Form W-2G

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-17

    ... Locality) at the request of TIGERS (Tax Information Group for E-Commerce Requirements Standardization) and the e-Channel Support e-Initiatives Group. The new boxes are added for the use of state and local... information technology; and (e) estimates of capital or start-up costs and costs of operation, maintenance...

  17. 77 FR 58109 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... Regulation Supplement (DFARS) part 245, Government Property, and the following related clauses and forms: DD Form 1149, Requisition and Invoice/Shipping Document; DD Form 1348-1A, DoD Single Line item Release/Receipt Document; DD Form 1639, Scrap Warranty; DD Form 1640, Request for Plant Clearance; DD Form 1641...

  18. 48 CFR 13.307 - Forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Forms. 13.307 Section 13.307 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACTING METHODS AND... 1449; SF 18, Request for Quotations; or an agency form/automated format may be used. Each agency...

  19. Primary care requests for anaemia chemistry tests in Spain: potential iron, transferrin and folate over-requesting.

    PubMed

    Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Leiva-Salinas, Carlos

    2017-09-01

    To study the regional variability of requests for anaemia chemistry tests in primary care in Spain and the associated economic costs of potential over-requesting. Requests for anaemia tests were examined in a cross-sectional study. Clinical laboratories from different autonomous communities (AACCs) were invited to report on primary care anaemia chemistry tests requested during 2014. Demand for iron, ferritin, vitamin B12 and folate tests per 1000 inhabitants and the ratios of the folate/vitamin B12 and transferrin/ferritin requests were compared between AACCs. We also calculated reagent costs and the number of iron, transferrin and folate tests and the economic saving if every AACC had obtained the results achieved by the AACC with best practice. 110 laboratories participated (59.8% of the Spanish population). More than 12 million tests were requested, resulting in reagent costs exceeding €16.5 million. The serum iron test was the most often requested, and the ferritin test was the most costly (over €7 million). Close to €4.5 million could potentially have been saved if iron, transferrin and folate had been appropriately requested (€6 million when extrapolated to the whole Spanish population). The demand for and expenditure on anaemia chemistry tests in primary care in Spain is high, with significant regional differences between different AACCs. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  20. 75 FR 6002 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... Unit, DA Form 3126-1, OMB Control Number 0702-0110. Type of Request: Extension. Number of Respondents... Cadet Corps Unit (NDCC) may apply by using a DA Form 3126-1. The DA Form 3126-1 documents the agreement...

  1. How novice, skilled and advanced clinical researchers include variables in a case report form for clinical research: a qualitative study.

    PubMed

    Chu, Hongling; Zeng, Lin; Fetters, Micheal D; Li, Nan; Tao, Liyuan; Shi, Yanyan; Zhang, Hua; Wang, Xiaoxiao; Li, Fengwei; Zhao, Yiming

    2017-09-18

    Despite varying degrees in research training, most academic clinicians are expected to conduct clinical research. The objective of this research was to understand how clinical researchers of different skill levels include variables in a case report form for their clinical research. The setting for this research was a major academic institution in Beijing, China. The target population was clinical researchers with three levels of experience, namely, limited clinical research experience, clinicians with rich clinical research experience and clinical research experts. Using a qualitative approach, we conducted 13 individual interviews (face to face) and one group interview (n=4) with clinical researchers from June to September 2016. Based on maximum variation sampling to identify researchers with three levels of research experience: eight clinicians with limited clinical research experience, five clinicians with rich clinical research experience and four clinical research experts. These 17 researchers had diverse hospital-based medical specialties and or specialisation in clinical research. Our analysis yields a typology of three processes developing a case report form that varies according to research experience level. Novice clinician researchers often have an incomplete protocol or none at all, and conduct data collection and publication based on a general framework. Experienced clinician researchers include variables in the case report form based on previous experience with attention to including domains or items at risk for omission and by eliminating unnecessary variables. Expert researchers consider comprehensively in advance data collection and implementation needs and plan accordingly. These results illustrate increasing levels of sophistication in research planning that increase sophistication in selection for variables in the case report form. These findings suggest that novice and intermediate-level researchers could benefit by emulating the comprehensive

  2. 76 FR 27077 - Agency Information Collection Activities: Form AR-11 and Form AR-11SR, Extension of an Existing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... Collection Activities: Form AR-11 and Form AR- 11SR, Extension of an Existing Information Collection; Comment Request ACTION: 60-Day Notice of Information Collection under Review: Form AR- 11 and Form AR-11SR, Alien... evaluating whether to revise the Form AR-11 and Form AR-11SR (Forms AR-11). Should USCIS decide to revise...

  3. 77 FR 22346 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Leased/Charter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ... Collection; Comments Requested: Leased/Charter Flight Personnel Expedited Clearance Request ACTION: 60-day.../Collection: Leased/Charter Flight Personnel Expedited Clearance Request. (3) Agency form number, if any, and... become contract flight crew members. It is required so that USMS can perform an expedited background...

  4. 77 FR 6094 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Acquisition Regulation Supplement (DFARS) part 245, Government Property; DD Form 1149, Requisition and Invoice/Shipping Document; DD Form 1348-1A, DoD Single Line item Release/Receipt Document; DD Form 1637, Notice of Acceptance of Inventory Schedules; DD Form 1639, Scrap Warranty; DD Form 1640, Request for Plant Clearance...

  5. 76 FR 6813 - Agency Information Collection Activities: Comment Request for the Consolidated Consumers' Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... Collection Activities: Comment Request for the Consolidated Consumers' Report (1 Form) AGENCY: U.S... Consolidated Consumers' Report. This collection consists of one form. This notice provides the public and other...: 9-4117-MA. Title: Consolidated Consumers' Report. Type of Request: Extension of a currently approved...

  6. 77 FR 65044 - Agency Information Collection Activities: Proposed Request and Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-24

    ..., including our 800 number, online applications, mail services, or, in limited circumstances, face- to-face... stating why they believe SSA should rescind the ban and allow them to conduct business with us on a face-to-face basis in one of our offices. There is no printed form for this request; banned individuals...

  7. 78 FR 20700 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... SECURITIES AND EXCHANGE COMMISSION Submission for OMB Review; Comment Request Upon Written Request, Copies Available from: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Form N-8F, OMB Control No. 3235-0157; SEC File No. 270-136. Notice is hereby given that, pursuant to the...

  8. 75 FR 39289 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-08

    ... SECURITIES AND EXCHANGE COMMISSION Submission for OMB Review; Comment Request Upon Written Request, Copies Available From: Securities and Exchange Commission, Office of Investor Education and Advocacy, Washington, DC 20549-0213. Extension: Form N-8F; SEC File No. 270-136; OMB Control No. 3235-0157. Notice is hereby given that, pursuant to the...

  9. 75 FR 75696 - Criminal Division; Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ... Review: Request for Registration Under the Gambling Devices Act of 1962. The Department of Justice (DOJ.../Collection: Request for Registration Under the Gambling Devices Act of 1962. (3) Agency form number, if any... Government. The form can be used by any entity required to register under the Gambling Devices Act of 1962...

  10. 48 CFR 2953.100 - Request for Recommendation by Procurement Review Board DL 1-490.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Request for Recommendation by Procurement Review Board DL 1-490. 2953.100 Section 2953.100 Federal Acquisition Regulations System DEPARTMENT OF LABOR CLAUSE AND FORMS FORMS General 2953.100 Request for Recommendation by...

  11. 77 FR 43126 - Proposed Extension of Existing Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-23

    ...)(A)]. This program helps to ensure that requested data can be provided in the desired format..., and the impact of collection requirements on respondents can be properly assessed. Currently, the...: Provider Enrollment Form (OWCP-1168). A copy of the proposed information collection request can be obtained...

  12. 12 CFR 404.14 - Requirements of request for access.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Records Under the Privacy Act of 1974 § 404.14 Requirements of request for access. (a) Form. Requests for... Freedom of Information and Privacy Office at the address in § 404.12(e) and should contain both the return... working days of such notification, then the Freedom of Information and Privacy Office shall notify the...

  13. 12 CFR 404.14 - Requirements of request for access.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Records Under the Privacy Act of 1974 § 404.14 Requirements of request for access. (a) Form. Requests for... Freedom of Information and Privacy Office at the address in § 404.12(e) and should contain both the return... working days of such notification, then the Freedom of Information and Privacy Office shall notify the...

  14. 76 FR 27078 - Agency Information Collection Activities: Form N-426, Extension of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... Collection Activities: Form N-426, Extension of a Currently Approved Information Collection; Comment Request ACTION: 60-Day Notice of Information Collection Under Review: Form N- 426, Request for Certification of... whether to revise the Form N-426. Should USCIS decide to revise Form N-426 we will advise the public when...

  15. 75 FR 11192 - Agency Information Collection Activities: Form I-730, Revision of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ...-0037] Agency Information Collection Activities: Form I-730, Revision of an Existing Information Collection Request; Comment Request ACTION: 60-Day Notice of Information Collection under Review: Form I- 730..., mechanical, or other technological collection techniques, or other forms of information technology, e.g...

  16. A technical analysis of medicines request-related decision making in Brazilian courts.

    PubMed

    Macedo, Eloisa Israel de; Lopes, Luciane Cruz; Barberato-Filho, Silvio

    2011-08-01

    To analyze judicial requests for medications that are covered by the pharmaceutical assistance components of the Sistema Único de Saúde (SUS - Brazilian Unified Health System). We analyzed 81 judicial requests for medications in the State of São Paulo between 2005 and 2009. The details of these cases were obtained electronically from the Court of Justice of the State of São Paulo. Directives that regulate pharmaceutical assistance were consulted to identify judicially requested medications that are covered by the SUS. To assess the level of evidence supporting the use of these medications to treat the clinical indications described, we consulted the Thomson Micromedex® database. The number of individual medications requested in each case ranged from 1 to 7; in total, 77 different pharmaceuticals agents were identified. Of the medications requested, 14.3% should have been available through SUS primary care, 19.5% were classified under the exceptionally dispensed medications component of the SUS, and 66.2% were not on any official list. Medications of the exceptionally dispensed medications component showed better clinical evidence when indicated for the treatment of medical conditions covered by the Clinical Protocols and Therapeutic Guidelines of Brazil's Ministry of Health. The judicial process has been used to ensure access to medications that are covered by the SUS and to request access to those that are not covered. Our assessment of the level of available evidence reinforces the need for technical analysis in the decision-making process in cases of judicially requested medications.

  17. 77 FR 58401 - Proposed Collection: Comment Request: Drug Accountability Report Form and Investigator...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-20

    ... data collection projects, the National Cancer Institute (NCI), the National Institutes of Health (NIH...) (OMB No. 0925-0613). Type of Information Collection Request: Revision. Need and Use of Information... physicians who specialize in the treatment of patients with cancer. Data obtained from the Drug...

  18. 75 FR 16492 - Agency Information Collection Activities: Form G-28, and Form G-28I, Revision of an Existing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-01

    ... Collection Activities: Form G-28, and Form G- 28I, Revision of an Existing Information Collection; Comment Request ACTION: 60-Day Notice of Information Collection under Review: Form G- 28, Notice of Entry of Appearance as Attorney or Accredited Representative, and Form G-28I, Notice of Entry of Appearance of Foreign...

  19. 77 FR 4372 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... (30) calendar-days of publication of this Notice. OPIC plans to implement this form in Fall 2012... Request: Revised form. Title: Application for Political Risk Insurance. Form Number: OPIC-52. [[Page 4373... for political risk insurance and collect information for underwriting analysis. Dated: January 20...

  20. 76 FR 47240 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... information can significantly expedite the handling of requests for assistance, resulting in both improved service to customers and enhanced capacity to handle inquiry volume. This information includes the plan... technological collection techniques or other forms of information technology, e.g., permitting electronic...

  1. 11 CFR 104.2 - Forms.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... committee may use, for reporting purposes, computer produced schedules of itemized receipts and... proposed format with its request for approval. (e) The following forms shall be used by the indicated type...

  2. Importance/performance analysis: a tool for service quality control by clinical laboratories.

    PubMed

    Scammon, D L; Weiss, R

    1991-01-01

    A study of customer satisfaction with clinical laboratory service is used as the basis for identifying potential improvements in service and more effectively targeting marketing activities to enhance customer satisfaction. Data on customer satisfaction are used to determine the aspects of service most critical to customers, how well the organization is doing in delivery of service, and how consistent service delivery is. Importance-performance analysis is used to highlight areas for future resource reallocation and strategic emphasis. Suggestions include the establishment of performance guidelines for customer contact personnel, the enhancement of timely delivery of reports via electronic transmission (computer and fax), and the development of standardized graphics for request and report forms to facilitate identification of appropriate request forms and guide clients to key items of information on reports.

  3. [Law courts and clinical documentation].

    PubMed

    Jiménez Carnicero, M P; Magallón, A I; Gordillo, A

    2006-01-01

    Background. Until 2004, requests for clinical documentation proceeding from the Judicial Administration on Specialist Care of Pamplona were received in six different centres and were processed independently, with different procedures, and documents were even sent in duplicate, with the resulting work load. This article describes the procedure for processing requests for documentation proceeding from the Law Courts and analyses the requests received. Methods. A circuit was set up to channel the judicial requests that arrived at the Specialist Health Care Centres of Pamplona and at the Juridical Regime Service of the Health System of Navarra-Osasunbidea, and a Higher Technician in Health Documentation was contracted to centralise these requests. A proceedings protocol was established to unify criteria and speed up the process, and a database was designed to register the proceedings. Results. In the course of 2004, 210 requests for documentation by legal requirement were received. Of these, 24 were claims of patrimonial responsibility and 13 were requested by lawyers with the patient's authorisation. The most frequent jurisdictional order was penal (43.33%). Ninety-three point one five percent (93.15%) of the requests proceeded from law courts in the autonomous community of Navarra. The centre that received the greatest number of requests was the "Príncipe de Viana" Consultation Centre (33.73%).The most frequently requested documentation was a copy of reports (109) and a copy of the complete clinical record (39). On two occasions the original clinical record was required. The average time of response was 6.6 days. Conclusions. The centralisation of administration has brought greater agility to the process and homogeneity in the criteria of processing. Less time is involved in preparing and dispatching the documentation, the dispatch of duplicate documents is avoided, the work load has been reduced and the dispersal of documentation is avoided, a situation that

  4. 76 FR 45844 - Agency Information Collection Activities: Form N-426, Extension of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ... Collection Activities: Form N-426, Extension of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form N- 426, Request for Certification of... Department of Homeland Security sponsoring the collection: Form N-426. U.S. Citizenship and Immigration...

  5. 75 FR 30050 - Agency Information Collection Activities: Form N-648, Revision of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... Collection Activities: Form N-648, Revision of an Existing Information Collection Request; Comment Request ACTION: 30[dash]Day Notice of Information Collection Under Review: Form N-648, Medical Certification for..., and the applicable component of the Department of Homeland Security sponsoring the collection: Form N...

  6. 75 FR 5099 - Agency Information Collection Activities: Form N-648, Revision of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-01

    ... Collection Activities: Form N-648, Revision of an Existing Information Collection Request; Comment Request ACTION: 60-day notice of information collection under review: Form N- 648, Medical Certification for..., and the applicable component of the Department of Homeland Security sponsoring the collection: Form N...

  7. 78 FR 32276 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-29

    ... information collection request (ICR) revision titled, ``Notice of Issuance of Insurance Policy,'' Form CM-921...)(D). SUPPLEMENTARY INFORMATION: The Notice of Issuance of Insurance Policy, Form CM-921, provides... for OMB Review; Comment Request; Notice of Issuance of Insurance Policy ACTION: Notice. SUMMARY: The...

  8. 49 CFR 1152.21 - Form of notice.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... for Public Use, and Trail Use § 1152.21 Form of notice. The Notice of Intent to abandon or to... use, including interim trail use. Any request for a public use condition under 49 U.S.C. 10905 (§ 1152.28 of the Board's rules) and any request for a trail use condition under 16 U.S.C. 1247(d) (§ 1152.29...

  9. 77 FR 5581 - Submission for Review: Information Collection; Interview Survey Form (INV 10)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Information Collection; Interview Survey Form (INV 10) AGENCY: U.S. Office of Personnel Management. ACTION: 60-Day Notice and request for... request (ICR), Office of Management and Budget (OMB) Control No. 3206-0106, Interview Survey Form (INV 10...

  10. Quality assurance of clinical transfusion practice by implementation of the privilege of blood prescription and computerized prospective audit of blood requests.

    PubMed

    Marconi, M; Almini, D; Pizzi, M N; Riccardi, D; Bergamaschi, W; Giovanetti, A M; Rebulla, P; Sirchia, G

    1996-03-01

    Guidelines, algorithms and recommendations have been issued in the attempt to ensure appropriateness of transfusion practice, but the results are less than satisfactory, mainly due to the difficulty to turn paper procedures into actual practice. In our hospital we have tried to overcome this difficulty through the implementation of a quality assurance programme which includes giving the privilege of nonurgent blood prescription to a limited number of physicians and a computerized prospective audit of blood requests. The latter is performed through verification of the compliance of blood requests, which are designed to include a patient's laboratory and clinical data, with hospital guidelines for the proper use of blood. In the 12 months since implementation of the computerized prospective audit the transfusion service has evaluated 7884 requests. Of these, 63.4% (n = 4998) were for red blood cells, 21.1% (n = 1664) for platelets and 15.5% (n = 1222) for fresh frozen plasma. The prospective audit showed that 96.8% and 98.1% of requests for red units and platelets were appropriate, respectively. Conversely, approximately 27% of plasma requests did not comply with guidelines, mainly because the evidence of coagulopathy was missing. However, inappropriateness of plasma requests for elective general surgery decreased from 39% at the onset of the programme to 14% in the last trimester considered. Moreover, the evaluation by retrospective audit of the proportion of patients transfused with both red blood cells and plasma in the perioperative period out of those transfused with red blood cells only, as an indicator of unwanted reconstitution of whole blood, showed that this proportion decreased from 47.6% (320/672) in the 12 months before implementation of computerized audit to 37.8% (244/646) in the following 12 months (difference = -9.8%, 95% confidence interval of the difference from -4.5% to -15.1%; P < 0.005 by chi 2 test). Our initial experience, together with the

  11. 77 FR 60742 - Proposed Collection; Comment Request for TD 9178

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... receipt of a request or demand for disclosure of IRS records or information. The purpose of the final... make requests or demands for disclosure. Current Actions: There is no change in the paperwork burden... forms of information technology; and (e) estimates of capital or start-up costs and costs of operation...

  12. 75 FR 61249 - Proposed Information Collection (VA Request for Determination of Reasonable Value) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... Request for Determination of Reasonable Value) Activity: Comment Request AGENCY: Veterans Benefits... information needed to determine the reasonable value of properties for guaranteed or direct home loans. DATES... Request for Determination of Reasonable Value, VA Form 26-1805 and 26-1805-1. OMB Control Number: 2900...

  13. 76 FR 53144 - Agency Information Collection Activities: Form N-336; Revision of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... Collection Activities: Form N-336; Revision of a Currently Approved Information Collection; Comment Request ACTION: 60-Day Notice of Information Collection Under Review: Form N- 336, Request for Hearing on a... Homeland Security sponsoring the collection: Form N-336; U.S. Citizenship and Immigration Services (USCIS...

  14. 75 FR 70277 - Agency Information Collection Activities: Form N-336, Extension of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... Collection Activities: Form N-336, Extension of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form N- 336, Request for Hearing on a... Security sponsoring the collection: Form N-336; U.S. Citizenship and Immigration Services (USCIS). (4...

  15. 78 FR 27472 - Agency Information Collection Activities: Requests for Comments; Clearance of New Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... Display to Industry (ASDI) Block Requests AGENCY: Federal Aviation Administration (FAA), DOT. ACTION... information will be used by the National Air Space Data Release Office to block aircraft flight data as... Display to Industry (ASDI) Block Requests. Form Numbers: There are no FAA forms associated with this...

  16. 32 CFR 1801.21 - Processing requests for access to or amendment of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NATIONAL COUNTERINTELLIGENCE CENTER PUBLIC RIGHTS UNDER THE PRIVACY ACT OF 1974 Action On Privacy Act... whether the requester cites one Act in the request, both, or neither. This action is taken in order to..., in the form of a final written response, shall so inform the requester and advise of his or her right...

  17. 77 FR 11186 - Request for Comments on a New Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ... of Transportation's aviation economic, consumer protection, and civil rights requirements. Among... Consumer Protection Division Web page On-Line Aviation Complaint Form. Type of Request: Request for an OMB... broad authority under 49 U.S.C., Subtitle VII, to investigate and enforce consumer protection and civil...

  18. The Case of Ms D: A Family's Request for Posthumous Procurement of Ovaries.

    PubMed

    Guidry-Grimes, Laura

    2016-01-01

    The MedStar Washington Hospital Center clinical ethics team became involved in a case when the family requested the posthumous removal of a patient's ovaries for future reproductive use. This case presents a novel question for clinical ethicists, since the technology for posthumous female reproduction is still in development. In the bioethics literature, the standard position is to refuse to comply with such a request, unless there is explicit consent or evidence of explicit conversations that demonstrate the deceased would have wanted this option pursued. Ms D's case, we suggest, offers an exception to this default position; complying with the family's request could have been ethically permissible in this case, had it been medically feasible. Copyright 2016 The Journal of Clinical Ethics. All rights reserved.

  19. ROME (Request Object Management Environment)

    NASA Astrophysics Data System (ADS)

    Kong, M.; Good, J. C.; Berriman, G. B.

    2005-12-01

    Most current astronomical archive services are based on an HTML/ CGI architecture where users submit HTML forms via a browser and CGI programs operating under a web server process the requests. Most services return an HTML result page with URL links to the result files or, for longer jobs, return a message indicating that email will be sent when the job is done. This paradigm has a few serious shortcomings. First, it is all too common for something to go wrong and for the user to never hear about the job again. Second, for long and complicated jobs there is often important intermediate information that would allow the user to adjust the processing. Finally, unless some sort of custom queueing mechanism is used, background jobs are started immediately upon receiving the CGI request. When there are many such requests the server machine can easily be overloaded and either slow to a crawl or crash. Request Object Management Environment (ROME) is a collection of middleware components being developed under the National Virtual Observatory Project to provide mechanism for managing long jobs such as computationally intensive statistical analysis requests or the generation of large scale mosaic images. Written as EJB objects within the open-source JBoss applications server, ROME receives processing requests via a servelet interface, stores them in a DBMS using JDBC, distributes the processing (via queuing mechanisms) across multiple machines and environments (including Grid resources), manages realtime messages from the processing modules, and ensures proper user notification. The request processing modules are identical in structure to standard CGI-programs -- though they can optionally implement status messaging -- and can be written in any language. ROME will persist these jobs across failures of processing modules, network outages, and even downtime of ROME and the DBMS, restarting them as necessary.

  20. 40 CFR 305.5 - Filing, service, and form of pleadings and documents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Filing, service, and form of pleadings... SUPERFUND General § 305.5 Filing, service, and form of pleadings and documents. (a) Filing of pleadings and... Request for a Hearing and shall provide him a copy of such request. The original of all other pleadings...

  1. 31 CFR 256.11 - How do agencies request payments?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... request forms or by using other approved methods as provided for on the Judgment Fund Web site at http://www.fiscal.treasury.gov/judgefund. Fiscal Service provides forms and detailed information about... Judgment Fund Web site. The submitting agency must complete and sign all required Judgment Fund forms and...

  2. 75 FR 6213 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, OMB No...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-08

    ... benefit costs for the project. The request for appeals, both first and second, and well as the arbitration...; Public Assistance Program AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice; 30-day notice...; Public Assistance Program; FEMA Form 90-49, Request for Public Assistance; FEMA Form 90-91, Project...

  3. 78 FR 29439 - Proposed Information Collection (Request for Details of Expenses) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-20

    ... correspondence. During the comment period, comments may be viewed online through the FDMS. FOR FURTHER... techniques or the use of other forms of information technology. Title: Request for Details of Expenses, VA... current rate of pension. Pension is an income-based program, and the payable rate depends on the claimant...

  4. 75 FR 45205 - Proposed Information Collection (Request for Details of Expenses) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... correspondence. During the comment period, comments may be viewed online through the FDMS. FOR FURTHER... techniques or the use of other forms of information technology. Title: Request for Details of Expenses, VA... current rate of pension. Pension is an income-based program, and the payable rate depends on the claimant...

  5. 77 FR 35383 - Agency Information Collection Activities: Final Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... EXPORT-IMPORT BANK OF THE U.S. [Public Notice 2012-0110] Agency Information Collection Activities: Final Collection; Comment Request AGENCY: Export-Import Bank of the U.S. ACTION: Submission for OMB Review and Comments Request. Form Title: EIB 11-05 Exporter's Certificate For Loan Guarantee & MT...

  6. 77 FR 22360 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ... requirement to be submitted: 1. The title of the information collection: Generic Customer Satisfaction Surveys and NRC Form 671, Request for Review of a Customer Satisfaction Survey under Generic Clearance. 2... or request: 1,529.5 hours. 7. Abstract: Voluntary customer satisfaction surveys will be used to...

  7. 77 FR 44641 - Critical Infrastructure Private Sector Clearance Program Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    .... DHS Sector Specialists or Protective Security Advisors email the form to the individual who then... clearance request form is signed by both the Federal official who nominated the applicant and the Assistant...

  8. 77 FR 3235 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ... Collection The DD Form 370 is a form in which an applicant, who requests a waiver to enter the Armed Forces... eligibility standards to become a member of the Armed Forces of the United States. Dated: January 17, 2012... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DOD-2012-OS-0006] Proposed Collection...

  9. 76 FR 69276 - Agency Information Collection Activities: Form N-336, Revision of a Currently Approved...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ... Activities: Form N-336, Revision of a Currently Approved Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form N- 336, Request for Hearing on a Decision in... collection: Form N-336. U.S. Citizenship and Immigration Services. (4) Affected public who will be asked or...

  10. 75 FR 51533 - Proposed Collection; Comment Request for Form 14134 and Form 14135

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... through the use of automated collection techniques or other forms of information technology; and (e... Form 14134, Application for Certificate of Subordination of Federal Tax Lien, and Form 14135, Application for Certificate of Discharge of Property from Federal Tax Lien. DATES: Written comments should be...

  11. 78 FR 21617 - Notice of Proposed Information Collection: Comment Request; Final Endorsement of Credit Instrument

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... Information Collection: Comment Request; Final Endorsement of Credit Instrument AGENCY: Office of the... Proposal: Final Endorsement of Credit Instrument. OMB Control Number, if applicable: 2502-0016. Description... Endorsement of Credit Instrument'' form is used to request to request final endorsement by HUD of the credit...

  12. 76 FR 2087 - Information Collection; Submission for OMB Review, Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-12

    ... information collection request (ICR) entitled the National Service Trust Voucher and Payment Request Form to... Reduction Act of 1995, Public Law 104-13, (44 U.S.C. Chapter 35). Copies of this ICR, with applicable...: Renewal. Agency: Corporation for National and Community Service. Title: National Service Trust Voucher and...

  13. Obstetrician gender and the likelihood of performing a maternal request for a cesarean delivery.

    PubMed

    Liu, Tsai-Ching; Lin, Herng-Ching; Chen, Chin-Shyan; Lee, Hsin-Chien

    2008-01-01

    To examine the relationship between obstetrician gender and the likelihood of maternal request for cesarean section (CS) within different healthcare institutions (medical centers, regional hospitals, district hospitals, and obstetric and gynecology clinics). Five years of population-based data from Taiwan covering 857,920 singleton deliveries without a clinical indication for a CS were subjected to a multiple logistic regression to examine the association between obstetrician gender and the likelihood of maternal request for a CS. After adjusting for physician and institutional characteristics, it was found that male obstetricians were more likely to perform a requested CS than female obstetricians in district hospitals (OR=1.53) and clinics (OR=2.26), while obstetrician gender had no discernible associations with the likelihood of a CS upon maternal request in medical centers and regional hospitals. While obstetrician gender had the greatest association with delivery mode decisions in the lowest obstetric care units, those associations were diluted in higher-level healthcare institutions.

  14. 19 CFR 201.18 - Denial of requests, appeals from denial.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... therefor, has been provided to the person making the request. Notice of the decision on appeal and the... APPLICATION Availability of Information to the Public Pursuant to 5 U.S.C. 552 § 201.18 Denial of requests... Information Act Appeal.” An appeal may be made either in paper form, or electronically by contacting the...

  15. 75 FR 19630 - Commission Information Collection Activities (FERC Form 80); Comment Request; Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-15

    ..., instructions, and glossary remain unchanged and are not attached. Action: The Commission is requesting a three... of terms, please refer to the Glossary. c. Report actual data for each item. If actual data are..., instructions, and glossary) are unchanged and are not included here.] [FR Doc. 2010-8584 Filed 4-14-10; 8:45 am...

  16. Medical teachers conceptualize a distinctive form of clinical knowledge.

    PubMed

    Barrett, J; Yates, L; McColl, G

    2015-05-01

    For over four decades, there have been efforts to specify the types of knowledge that medical students need, how that knowledge is acquired and how its constituent parts are related. It is one of the areas of continuing concern underlying medical education reform. Despite their importance to medical students' learning and development, the perspectives of medical teachers in hospitals are not always considered in such discourse. This study sought to generate an understanding of these teachers' values, perspectives and approaches by listening to them and seeing them in their everyday teaching work, finding and understanding the meanings they bring to the work of medical teaching in hospitals. In interviews, all of the teachers talked more about the optimal forms of knowledge that are important for students than they talked about the form of the teaching itself. Many revealed to students what knowledge they do and do not value. They had a particular way of thinking about clinical knowledge as existing in the people and the places in which the teaching and the clinical practice happen, and represented this as 'real' knowledge. By implication, there is other knowledge in medical education or in students' heads that is not real and needs to be transformed. Their values, practices and passions add texture and vitality to existing ways of thinking about the characteristics of clinical knowledge, how it is depicted in the discourse and the curriculum and how it is more dynamically related to other knowledge than is suggested in traditional conceptualizations of knowledge relationships.

  17. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  18. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  19. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  20. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  1. 21 CFR 203.33 - Drug sample forms.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Drug sample forms. 203.33 Section 203.33 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL PRESCRIPTION DRUG MARKETING Samples § 203.33 Drug sample forms. A sample request or receipt form may be...

  2. 76 FR 67558 - Proposed Information Collection (Request for Change of Program or Place of Training) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... information needed to determine a claimant's eligibility for continued educational assistance when he or she... use of other forms of information technology. Title: Request for Change of Program or Place of... collection. Abstract: Claimants receiving educational benefits complete VA Form 22-1995 to request a change...

  3. 76 FR 11444 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... Natural Gas Data Collection Program Package. The surveys covered by this request include: Form EIA-176... burden for the surveys included in the Natural Gas Data Collection Program Package is shown below as an... help the EIA prepare data requests that maximize the utility of the information collected and assess...

  4. 76 FR 73741 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... for project financing and collect information for financial underwriting analysis. Dated: November 21... Request: Revised form. Title: Application for Project Finance. Form Number: OPIC-115. Frequency of Use: Once per investor per project. Type of Respondents: Business or other institution (except farms...

  5. 77 FR 4373 - Submission for OMB Review; Comments Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... for project financing and collect information for financial underwriting analysis. Dated: January 20... Request: Revised form. Title: Application for Project Finance. Form Number: OPIC-115. Frequency of Use: Once per investor per project. Type of Respondents: Business or other institution (except farms...

  6. 77 FR 71005 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-28

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Proposed Projects Title: Child Support Enforcement Program Expenditure Report (Form OCSE-396A) and the Child Support Enforcement Program Collection Report (Form OCSE-34A...

  7. 75 FR 10805 - Proposed Information Collection Activity; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-09

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Proposed Projects: Title: Child Support Enforcement Program Expenditure Report (Form OCSE-396A) and the Child Support Enforcement Program Collection Report (Form OCSE-34A...

  8. 78 FR 1250 - Agency Information Collection Activities: Proposed New Collection; Comments Requested; Stress...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ... Collection; Comments Requested; Stress Resiliency Study Questionnaires for Milwaukee Police Department ACTION... new collection; comments requested. (2) Title of the Form/Collection: Stress Resiliency Study... MPD officers' perceived stress, responses to stressful experiences, stress and its relationship to...

  9. 78 FR 16536 - Agency Information Collection Activities; Proposed New Collection; Comments Requested: Stress...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-15

    ... New Collection; Comments Requested: Stress Resiliency Study Questionnaires for Milwaukee Police...; comments requested. (2) Title of the Form/Collection: Stress Resiliency Study Questionnaires for Milwaukee... stress, responses to stressful experiences, stress and its relationship to biometrics and related...

  10. 17 CFR 301.0-1 - Availability of forms.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... A to Part 285 FORMS, SECURITIES INVESTOR PROTECTION CORPORATION § 301.0-1 Availability of forms. The forms prescribed for use under the Securities Investor Protection Act of 1970, as amended, (the “Act... may be obtained upon request to, as appropriate, the Securities Investor Protection Corporation (“SIPC...

  11. 32 CFR 806.29 - Administrative processing of Air Force FOIA requests.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...-workdays allowed in situations outlined in the FOIA). If the requested data must come from electronic...) Processing Cost for Technical Data, in each request. The OPR must complete and return the appropriate forms..., certificates and documents prepared by the OPRs in the FOIA appeal package required in paragraph (d)(5) of this...

  12. 75 FR 5867 - Proposed Collection; Comment Request for Form 8879-C and Form 8879-I

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-04

    ... Form 8879-C, IRS e-file Signature Authorization for Form 1120, and Form 8879-I, IRS e-file Signature...: Title: IRS e-file Signature Authorization for Form 1120; IRS e-file Signature Authorization for Form... Signature Authorization for Form 1120, and Form 8879-I, IRS e-file Signature Authorization for Form 1120-F...

  13. 78 FR 77466 - Agency Information Collection Activities; Proposed Collection; Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-23

    ... regular yearly basis. Entities that are affected by the Civil Rights Information Request Form are: health... working with health care providers because potential civil rights concerns can be identified prior to... identifier HHS-OS-21138-60D for reference. Information Collection Request Title: The Civil Rights Information...

  14. 78 FR 69697 - Agency Information Collection Activities: Proposed Collection: Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-20

    .... Information Collection Request Title: Nurse Faculty Loan Program, Annual Performance Report Financial Data Form OMB No. 0915-0314--REVISION Abstract: This clearance request is for approval of the revised Nurse... previously titled as the Nurse Faculty Loan Program, Annual Operating Report (NFLP-AOR). Need and Proposed...

  15. 78 FR 78388 - Agency Information Collection Activities; Submission for OMB Review; Comment Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... Occupational Safety and Health Administration (OSHA) sponsored information collection request (ICR) titled, ``Occupational Safety and Health Administration Conflict of Interest and Disclosure Form,'' to the Office of... for OMB Review; Comment Request; Occupational Safety and Health Administration Conflict of Interest...

  16. 76 FR 61148 - Proposed Information Collection (Approval of School Attendance) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... (Approval of School Attendance) Activity: Comment Request AGENCY: Veterans Benefits Administration... attending school. DATES: Written comments and recommendations on the proposed collection of information... techniques or the use of other forms of information technology. Titles: a. Request for Approval of School...

  17. 75 FR 4901 - 60-Day Notice of Proposed Information Collection: DS-5501, Electronic Diversity Visa Entry Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ...-5501, Electronic Diversity Visa Entry Form, OMB Control Number 1405-0153 ACTION: Notice of request for... Visa Entry Form. OMB Control Number: 1405-0153. Type of Request: Extension of currently approved collection. Originating Office: Bureau of Consular Affairs, Office of Visa Services (CA/VO). Form Number: DS...

  18. 76 FR 48874 - Agency Information Collection Activities: Form G-884, Extension of an Existing Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... Activities: Form G-884, Extension of an Existing Information Collection; Comment Request ACTION: 30-Day Notice of Information Collection Under Review: Form G- 884, Request for the Return of Original Document(s... information technology, e.g., permitting electronic submission of responses. Overview of This Information...

  19. 77 FR 36018 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-15

    ..., Washington, DC 20549-0213. Extension: Form TH; OMB Control No. 3235-0425; SEC File No. 270-377. Notice is... request for extension of the previously approved collection of information discussed below. Form TH (17... prescribed by Rule 201(a) of Regulation S-T. (17 CFR 232.201(a)). Form TH is a public document and is filed...

  20. 75 FR 1090 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-08

    ....C. 80a-8(b)). Form N-8B-2 requires disclosure about the organization of a UIT, its securities, the..., Washington, DC 20549-0213. Extension: Form N-8B-2; SEC File No. 270-186; OMB Control No. 3235-0186. Notice is... a request for extension of the previously approved collection of information discussed below. Form N...

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