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Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0935-0179
IC ID: 223277
OMB.report
HHS/AHRQ
OMB 0935-0179
ICR 202310-0935-001
IC 223277
( )
Documents and Forms
Document Name
Document Type
Form 1
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division
Form and Instruction
1 Questions for Patient Key Informants
Customer Satisfaction Survey_Patient FINAL.docx
Form and Instruction
Generic Clearance Submission Patient Questions FINAL.doc
Supporting Statement Part A
IC Document
OMB Cover Letter.doc
Cover Letter
IC Document
Information Collection (IC) Details
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