Information Collection
Patient Perception Surveys – Behavioral Health (CC)
IC 246496 under ICR 202102-0925-005 · OMB 0925-0648.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:
Documents and Forms
| Document Name | Document Type |
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Form 1Adult Inpatient Behavioral Health Survey Patient Perception Surveys – Behavioral Health (CC) |
Form and Instruction |
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Form 2 Adult Outpatient Behavioral Health Survey Patient Perception Surveys – Behavioral Health (CC) |
Form and Instruction |
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Form 3 Pediatric Inpatient Behavioral Health Survey Patient Perception Surveys – Behavioral Health (CC) |
Form and Instruction |
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Form 4 Pediatric Outpatient Behavioral Health Survey Patient Perception Surveys – Behavioral Health (CC) |
Form and Instruction |
Information Collection (IC) Details
| IC Title | Patient Perception Surveys – Behavioral Health (CC) |
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