OMB control number

Technical Assistance for Health IT and Health Information Exchange in Medicaid and SCHIP

OMB 0935-0137 · HHS/AHRQ.

OMB 0935-0137

Latest forms, documents, and information collections
Document	Type
Form Form #3 Web-based seminar evaluations	Form and Instruction
Form Form #2 Workshop evaluations	Form and Instruction
Form Form #1 Needs Assessment	Form and Instruction
Supporting Statement Part B 4-21-2008.doc	Supporting Statement B
Attachment J_Thank you letter from Contractor final.doc	Supplementary Document
Attachment I_Consent Form 04-14-08.doc	Supplementary Document
Attachment H_Script for Agency contactors_final.doc	Supplementary Document
Attachment G3_AHRQ magnet.jpg	Supplementary Document
Attachment G2_SHOWCARDs final.doc	Supplementary Document
Attachment G1_Contractor cover letter for needs assessment_final.doc	Supplementary Document
Attachment F7_Pilot cover letter final.doc	Supplementary Document
Attachment F6_Topics for Needs Assessment Interview_final.doc	Supplementary Document
Attachment F5_Resource List final.doc	Supplementary Document
Attachment F4_FastFacts on AHRQ TA contract_AHRQ_OCKT approved final.doc	Supplementary Document
Attachment F3_NASMD cover letter final.doc	Supplementary Document
Attachment F2_ Contractor lead letter final.doc	Supplementary Document
Attachment F1_AHRQ cover letter_withsig.pdf	Supplementary Document
Attachment B_60 Day FR Notice -- Technical Assistance for HIT.pdf	Supplementary Document
Supporting Statement Part A 4-25-2008.doc	Supporting Statement A
Web-based seminar evaluations	Form and Instruction
Workshop evaluations	Form and Instruction
Needs Assessment	Form and Instruction

Historical document collections
Reference	Filing	Received	Concluded	Action
200805-0935-001	New collection (Request for a new OMB Control Number)	2008-05-06		Approved without change