Primary care site organizational characteristics survey; Attachment G

The Re-engineered Visit for Primary Care (AHRQ REV)

OMB: 0935-0237

IC ID: 226741

Information Collection (IC) Details

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Primary care site organizational characteristics survey; Attachment G
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Attachment G: Primary Care Site Organizational Characteristics Survey Attachment G Primary Care Site Organizational Characteristics Survey AHRQ.REV.JSI.11.2016.fine.version.doc No   Fillable Fileable

Health Health Care Services

 

9 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 9 0 9 0 0 0
Annual IC Time Burden (Hours) 14 0 14 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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