Information Collection

Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division

IC 228948 under ICR 202009-0935-002 · OMB 0935-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Patient Key Informants Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division	Form and Instruction
1 Patient Key Informants Customer Satisfaction Survey_Patient FINAL.docx	Form and Instruction
OMB Cover Letter_patientKI.doc Cover Letter	IC Document
Generic Clearance Submission Patient Questions FINAL.doc Supporting Statement	IC Document

Record metadata
IC Title	Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division