Building Diagnostic Safety Capacity - Diagnostic Safety Measurement Resource Evaluation Plan

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0935-0179

IC ID: 245332

Documents and Forms

Document Name Document Type
Form 1 Building Diagnostic Safety Capacity - Diagnostic Safety Measurement Resource Evaluation Plan Form and Instruction
1 Appendix A: Organizational Characteristics Survey Appendix A_Organizational Characteristics Survey.docx Form and Instruction
2 Appendix B: Organizational Readiness for Implementation Change (ORIC) Appendix B_ORIC.docx Form and Instruction
3 Appendix C: Pre-Test Interview Protocol Appendix C_Pre-test Interview Protocol.docx Form and Instruction
3 Appendix D: Post-test Evaluation Interview Protocol Appendix D_Post-test Interview Protocol.docx Form and Instruction
OMB Cover Letter.docx Cover Letter IC Document
Supporting Statement A_Operational Measurement_final ms.docx Supporting Statement IC Document