Information Collection

Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy

IC 247916 under ICR 201806-0920-001 · OMB 0920-0572.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 092-21FM
Attachment B-HCP QualBoard Screener-MD-NP-PA-MW Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment L-HCP QualBoard Discussion Guide Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment E-HCP IDI Screener-RN-MA Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment E-HCP IDI Discussion Guide -RN-MA Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment F-WRA QualBoard Screener Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment F-WRA QualBoard Discussion Board Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment G-WRA Focus Group Screener Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction
Form 0920-21FM
Attachment O-WRA Focus Group Discussion Guide Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy
Form and Instruction

Information Collection (IC) Details

Record metadata
Message Testing to Improve Patient-Provider Communication on the Risks of Alcohol Use during Pregnancy