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Federal forms, ICRs, and supporting documents

Information Collection

CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire

IC 189786 under ICR 200907-0935-001 · OMB 0935-0158.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire
 
  New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #1 4 Point Scale Questionnaire Attachment B1 Questionnaire with 4pt Scale 6-17-2009.doc Yes Yes Fillable Fileable
Form and Instruction Form #2 6 Point Scale Questionnaire Attachment B2 Questionnaire with 6pt Scale 6-17-2009.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

7,200 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 7,200 0 7,200 0 0 0
Annual IC Time Burden (Hours) 2,400 0 2,400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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