Information Collection

Patient Perception Surveys – Behavioral Health (CC)

IC 255318 under ICR 202103-0925-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1 Adult Inpatient Behavioral Health survey Patient Perception Surveys – Behavioral Health (CC)	Form
Form 2 Adult Outpatient Behavioral Health survey Patient Perception Surveys – Behavioral Health (CC)	Form
Form 3 Pediatric Inpatient Behavioral health survey Patient Perception Surveys – Behavioral Health (CC)	Form
Form 4 Pediatric Outpatient Behavioral Health survey Patient Perception Surveys – Behavioral Health (CC)	Form

Record metadata
IC Title	Patient Perception Surveys – Behavioral Health (CC)