Feasibility Study for a MEPS Monthly Check-In

Questionnaire and Data Collection Testing, Evaluation, and Research for the Agency for Healthcare Research and Quality

OMB: 0935-0124

IC ID: 251475

Documents and Forms

Document Name Document Type
Form 1B Feasibility Study for a MEPS Monthly Check-In Form and Instruction
1B Attachment 1-B. Study 1 Recruitment screener 1B Study 1 Recruitment Screener.docx Form and Instruction
1C Attachment 1-B. Study 1 Recruitment screener 1C Study 1 Recruitment Script.docx Form and Instruction
1F Attachment 1-F. Study 1 MCI Protocol 1 1F Study 1 Protocol 1 (MCI-1).docx Form and Instruction
1G Attachment 1-G. Study 1 MCI Protocol 2 1G Study 1 Protocol 2 (MCI-2).docx Form and Instruction
1H Attachment 1-H. Study 1 Protocol 3 (R2) 1H Study 1 Protocol 3 (R2).docx Form and Instruction
1I Attachment 1-I. Study 1 MEPS Abbreviated R2 Interview 1I Study 1 R2_instrument.docx Form and Instruction
2B Attachment 2-B. Study 2 Recruitment telephone script + scheduling MCI interview 2B - Study 2 Recruitment Script.docx Form and Instruction
2E Attachment 2-E. Study 2 MCI Protocol 2E - Study 2 MCI Protocol.docx Form and Instruction
2F - Study 2 FG Guide.docx Instruction
1A Study 1 Ad.docx Instruction
OMB Cover Letter.docx Cover Letter IC Document
1D Study 1 Informed Consent.docx Attachment 1-D. Study 1 Consent form IC Document
1E Study 1 Zoom_instructions.docx Attachment 1-E. Study 1 Zoom instructions IC Document
2A - Study 2 Recruitment Letter.docx Attachment 2-A. Study 2 Recruitment letter IC Document
2C - Study 2 InformedConsent.docx Attachment 2-C. Study 2 Consent form IC Document
2D - Study 2 Zoom_instructions.docx Attachment 2-D. Study 2 Zoom instructions IC Document
MCI Statement A.docx Supporting Statement Part A IC Document
MCI Statement B_OMB_updated.docx Supporting Statement Part B IC Document