OMB control number

Bureau of Primary Health Care Patient Survey

OMB 0915-0326 · HHS/HSA.

OMB 0915-0326

Latest forms, documents, and information collections
Document	Type
Form 001-BPHC Patient S Bureau of Primary Health Care Patient Survey	Form
UpdatedMaterials.pdf	Supplementary Document
Questionnaire_V6_06222009.pdf	Supplementary Document
HRSA Response to OMB Comments_Final.pdf	Supplementary Document
Cognitive_Interview _Report_1st round _2_.pdf	Supplementary Document
Cognitive Interview Report_2nd round _2_.pdf	Supplementary Document
Approval Notice.11947.Renewal.2009.pdf	Supplementary Document
ss_BPHC Patient Survey - NEW - PART B.pdf	Supporting Statement B
Attachment 11 - Approval Notice.11947.Amend.02-06-09.pdf	Supplementary Document
Attachment 10 - Survey Methodology and Selection Specifications.pdf	Supplementary Document
Attachment 9 - Definition of Final Stratification.pdf	Supplementary Document
Attachment 8 - Statistical Design Plan.pdf	Supplementary Document
Attachment 7 - Data Security Plan.pdf	Supplementary Document
Attachment 6 - Technical Advisory Panel.pdf	Supplementary Document
Attachment 5 - Informed Consent Forms.pdf	Supplementary Document
Attachment 4 - Letters and Materials for grantees, sites and patients.pdf	Supplementary Document
Attachment 3 - Data elements for the survey instrument.pdf	Supplementary Document
Attachment 2 - Survey Instrument - 02-12-09.pdf	Supplementary Document
Attachment 1 - 2006 USC Title 42 Section 254b.pdf	Supplementary Document
ss_BPHC Patient Survey - NEW - PART A.pdf	Supporting Statement A
Bureau of Primary Health Care Patient Survey	Form

Historical document collections
Reference	Filing	Received	Concluded	Action
200903-0915-001	New collection (Request for a new OMB Control Number)	2009-03-10		Approved with change