Physician/PCMH Leader Interview

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

OMB: 0935-0236

IC ID: 225251

Information Collection (IC) Details

View Information Collection (IC)

Physician/PCMH Leader Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Attachment C: Script for Physician/PCMH Leader Attachment C-SCRIPT-PhysicianPCMH Leader_11Jan2017_FINAL.doc No   Paper Only
Form and Instruction 4 Attachment G: Physician/PCMH Leader Interview Protocol Attachment G-Provider Interview Protocol_22Dec2016.docx No   Paper Only

Health Health Care Services

 

176 0
   
Private Sector Businesses or other for-profits
 
   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 176 0 176 0 0 0
Annual IC Time Burden (Hours) 117 0 117 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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