Office Manager Inerview

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home (PCMH) Items Demonstration Study.

Documents and Forms

Document Name Document Type
Form 1 Office Manager Inerview Form
1 Attachment A: Script for Office Manager Attachment A-SCRIPT-OFFICE MANAGER-11Jan2017_FINAL.doc Form
2 Attachment B: Office Manager Interview Practice Question Attachment B-OFFICE MANAGER INTERVIEW_PRACTICE QUESTIONS_11Jan2017_FINAL.doc Form

Information Collection (IC) Details

IC Title:	Office Manager Inerview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Attachment A: Script for Office Manager	Attachment A-SCRIPT-OFFICE MANAGER-11Jan2017_FINAL.doc		No		Paper Only
Form	2	Attachment B: Office Manager Interview Practice Questions	Attachment B-OFFICE MANAGER INTERVIEW_PRACTICE QUESTIONS_11Jan2017_FINAL.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.