TeamSTEPPS® Team Assessment Tool for Improving Diagnosis (Appendix B)

TeamSTEPPS® Stakeholder Surveys for AHRQ’s ACTION III Diagnostic Safety Capacity Building Contract Task 3

OMB: 0935-0262

IC ID: 253041

Information Collection (IC) Details

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TeamSTEPPS® Team Assessment Tool for Improving Diagnosis (Appendix B)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 TeamSTEPPS® Team Assessment Tool for Improving Diagnosis (Appendix B) Appendix B_Team Assessment Tool_1.4.22_.docx Yes Yes Fillable Fileable

Health Health Care Services

 

350 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 350 0 350 0 0 0
Annual IC Time Burden (Hours) 88 0 88 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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