Download:
pdf |
pdf Non-visible Questions
Label
Why
not?
PDF Name
(step)
Health Center
Attestation(1)
Location
Response
Input Item
Below the
Text Entry
Yes and No
radio buttons
Visibility Trigger
Other
The field is displayed
if the user selects the
No radio button
State Changes
Label
PDF Name
Item Type
Trigger
OMB Number: 09150126 Expiration Date:
mm/dd/yyyy
Health Center
Attestation
Modal
When the user selects the link the modal
is displayed with the public burden
statement content.
Add a site
Health Center
Attestation
Modal
When the user sets Selects the link “+Add
a site” the page Add a site location is
displayed as a modal. The user can
complete the required form
elements. The modal is hidden once the
user submits the additional site form
information or selects the Cancel button.
| File Type | application/pdf |
| File Title | Health Center Attestation |
| Subject | NPDB forms |
| Author | Health Resources and Services Administration |
| File Modified | 2020-11-19 |
| File Created | 2020-08-28 |