OMB control number
National Study of the Hospital Adverse Event Reporting Survey
OMB 0935-0125 · HHS/AHRQ.
OMB 0935-0125
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Form #1 Adverse Event Reporting Follow-up Survey | Form and Instruction |
| Dec 11 2008 memo.doc | Supplementary Document |
 AERS_ResponseByStrata(122208).xls | Supplementary Document |
 Adverse Event Reporting.pdf | Supplementary Document |
| Supporting Statement Part B -- National Study of the Hospital AERS 8-18-08.doc | Supporting Statement B |
| 30 Day FRN -- National Study of the Hospital AERS.pdf | Supplementary Document |
| Attachment F -- Phone Survey Intro Script.doc | Supplementary Document |
| Attachment E -- Remail Cover Letter.doc | Supplementary Document |
| Attachment D -- Reminder Post Card.doc | Supplementary Document |
| Attachment C -- Questionnaire Cover Letter.doc | Supplementary Document |
| Supporting Statement Part A -- National Study of the Hospital AERS 8-18-08.doc | Supporting Statement A |
 Adverse Event Reporting Follow-up Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200810-0935-002 | Reinstatement with change of a previously approved collection | 2008-10-09 | Approved with change | |
| 200505-0935-001 | New collection (Request for a new OMB Control Number) | 2005-05-11 | Approved without change |