OMB control number
Palliative Care: Conversations Matter Phase Two Evaluation (NINR)
OMB 0925-0683 · HHS/NIH.
OMB 0925-0683
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Main Survey | Form and Instruction |
| Form 1 Screener | Form and Instruction |
| Form 1 Nurses | Form and Instruction |
| Form 1 Physicians | Form and Instruction |
| PIA_Phase Two Evaluation Survey 10 14 16.pdf | Supplementary Document |
| Attachment 6 Privacy Act Memo.pdf | Supplementary Document |
| 30-day FRN2016-22998.pdf | Supplementary Document |
| Attachment 5 - IRB Exemption Email.pdf | Supplementary Document |
| Attachment 4 - Reminder Email.pdf | Supplementary Document |
| Attachment 3 - Survey Invitation Email.pdf | Supplementary Document |
 NINR_SuppStmtB_PhaseTwoEval_09_07_16.doc | Supporting Statement B |
 NINR_SuppStmtA_PhaseTwoEval_09_07_16.docx | Supporting Statement A |
 Main Survey |
Form and Instruction |
| Screener |
Form and Instruction |
| Nurses |
Form and Instruction |
| Physicians |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201609-0925-002 | Revision of a currently approved collection | 2016-09-27 | Withdrawn and continue | |
| 201309-0925-001 | New collection (Request for a new OMB Control Number) | 2013-09-10 | Approved without change |