Form #3 Form #3 Hospital Information Form

Collection of Information for AHRQ's Hospital Survey on Patient Safety Culture Comparative Database

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0935-0162 can be found here:

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Attachment A-8: AHRQ Hospital Survey on Patient Safety Culture Comparative Database, Supporting Statement A--Hospital Information Form

File Type	application/msword
File Title	Attachment A-10: AHRQ Hospital Survey on Patient Safety Culture Comparative Database, Supporting Statement A--Hospital Informa
Author	Joann Sorra
Last Modified By	Suzanne Streagle
File Modified	2013-04-03
File Created	2009-08-05