Attachment H: Survey of Patient Safety Culture – HSOPS

The AHRQ Safety Program for Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention

OMB: 0935-0260

IC ID: 248486

Information Collection (IC) Details

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Attachment H: Survey of Patient Safety Culture – HSOPS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Attachment H: Survey of Patient Safety Culture – HSOPS Att H HSOPS.docx Yes Yes Fillable Fileable

Health Health Care Services

 

6,667 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 13,334 0 -5,000 0 0 18,334
Annual IC Time Burden (Hours) 3,334 0 -1,250 0 0 4,584
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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