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Field Test of A Survey of End-of-Life Care
Questionnaire and Data Collection Testing, Evaluation, and Research for the Agency for Healthcare Research and Quality
OMB: 0935-0124
IC ID: 249349
OMB.report
HHS/AHRQ
OMB 0935-0124
ICR 202401-0935-006
IC 249349
( )
Documents and Forms
Document Name
Document Type
Form 1
Field Test of A Survey of End-of-Life Care
Form and Instruction
1 Survey of End-of-Life Care
Appendix A Survey of EOL Care 2021_9_16eb.docx
Form and Instruction
Appendix B Survey of EOL Care Cover Letter and Telephone Intro_2021_9_15.docx
Survey Cover Letter and Telephone Interview Introduction
IC Document
EOL Care Survey Statement A DRAFT 2021_9_16eb.docx
Supporting Statement Part A
IC Document
EOL Care Survey Statement B DRAFT 2021_9_10.docx
Supporting Statement Part B
IC Document
Cover Letter Survey of EOL Care 2021_9_15eb.docx
AHRQ Cover Letter
IC Document
Information Collection (IC) Details
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