Attachment C: PHQ-9

Outcome Measure Harmonization and Data Infrastructure for Patient Centered Outcomes Research in Depression

OMB: 0935-0249

IC ID: 238579

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Form and Instruction
Form and Instruction
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Attachment C: PHQ-9
 
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 C: PHQ-9 Attachment C - PHQ-9_boxes_updated.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

150 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 450 0 450 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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