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Form #4 Form #4 NH Welcome and Login Pages
Nursing Home Survey on Patient Safety Culture Comparative Database
Attachment J - NH Welcome and Login Pages
Data Submission
OMB: 0935-0195
OMB.report
HHS/AHRQ
OMB 0935-0195
ICR 201202-0935-003
IC 201035
Form #4 Form #4 NH Welcome and Login Pages
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0935-0195 can be found here:
2024-10-15 - Extension without change of a currently approved collection
2021-09-21 - Extension without change of a currently approved collection
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Attachment J, Figure 1: Welcome Page
Attachment J, Figure 2: Login Page
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Suzanne Streagle
File Modified
0000-00-00
File Created
2021-01-31
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