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Health Information Technology Patient Satisfaction Survey (CC)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 249005
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202307-0925-002
IC 249005
( )
Documents and Forms
Document Name
Document Type
Form 1
Health Information Technology Patient Satisfaction Survey (CC)
Form
1 Patient Portal Survey for Patients
NIH Clinical Center Patient Portal Survey for Patients.v001.08182021 (3).docx
Form
2 Patient Portal Survey for Workers
NIH Clinical Center Patient Portal Survey for Workers.v001.08182021 (2).docx
Form
Health Information Technology Patient Satisfaction Survey 2021 (CC) (1).docx
Health Information Technology Patient Satisfaction Survey (CC)
IC Document
Health Information Technology Patient Satisfaction Survey 2021 email (CC) (2).docx
email
IC Document
Information Collection (IC) Details
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