OMB control number

Bureau of Primary Health Care Patient Survey

OMB 0915-0326 · HHS/HSA.

OMB 0915-0326

Latest Forms, Documents, and Supporting Material

Document Name
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

All Historical Document Collections

200903-0915-001

2009-03-10