Crosswalk of Changes: Consent Form

Crosswalk - Consent Form.xlsx

Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool (CMS-10243)

Crosswalk of Changes: Consent Form

OMB: 0938-1037

Document [xlsx]
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2019 (active form) 2023 (revised form) Type of Change Reason for Change Burden Change
If you agree to take part in this research study, we will provide you with a gift card for your time and effort. You will be asked to acknowledge receipt of this gift card on a separate form.
Del No payments are planned to respondents at this stage. When data collection resumes, Lewin does not anticipate paying respondents to participate in the FASI data collection. No
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