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Form 1 Patient Portal Online Survey screenshot
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Patient Portal Online Survey Screenshots Final (1)
Health Information Technology Patient Satisfaction Survey (CC)
OMB: 0925-0648
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202103-0925-003
IC 246550
Form 1 Patient Portal Online Survey screenshot
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0648 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-08-25 - No material or nonsubstantive change to a currently approved collection
Document [docx]
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OMB No. 0925-0648 Expiration Date: 05/2021
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Lardner, Michelle (NIH/CC/DCRI) [E]
File Modified
0000-00-00
File Created
2021-05-25
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