Synchronous Focus Group Questions for Patients and Care Partners (Spanish)

ACCESS, EXCHANGE, AND USE OF SOCIAL DETERMINANTS OF HEALTH DATA IN CLINICAL NOTES

OMB: 0955-0021

IC ID: 248132

Information Collection (IC) Details

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Synchronous Focus Group Questions for Patients and Care Partners (Spanish)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form C5 Synchronous Focus Group Questions for Patients and Care Partners (Spanish) Attachment C5. Final Synchronous Focus Group Questions-Patients and Care Partners (Spanish).docx Yes Yes Fillable Printable

Health Health Care Services

 

10 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10 0 10 0 0 0
Annual IC Time Burden (Hours) 15 0 15 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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