OMB control number

Reducing Healthcare Associated Infections (HAI): Improving patient safety through implementing multi-disciplinary interventions

OMB 0935-0144 · HHS/AHRQ.

OMB 0935-0144

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #6 Training Evaluation Form
Form Form #5 Infection Prevention and Patient Safety Activity Catalogue Form
Form Form #4 Follow-up Infection Rate Summary Form
Form Form #3 Baseline Infection Rate Summary Form
Form Form #2 Post-Training Infection Prevention and Safety Assessment Form
Form Form #1 Pre-Training Infection Prevention and Safety Assessment Form
Response.to.OMB.Questions.AHRQ.11.2008.doc Supplementary Document
Attachment I -- HAI Project Overview.doc Supplementary Document
Attachment H -- Fielding Instructions.doc Supplementary Document
Attachment G -- Action Partnerships & Collaborting Hospitals.doc Supplementary Document
Attachment F -- 60 Day Federal Register Notice.pdf Supplementary Document
Attachment E -- Summary of Common Data Collection Instruments.doc Supplementary Document
Attachment D -- Patient safety and Infection Prevention Assessment.doc Supplementary Document
Attachment C -- Patient Safety and Infection Prevention Catalogue.doc Supplementary Document
Attachment B -- HIA Information Collection and Reporting Summary.doc Supplementary Document
Supporting Statement Part B -- Reducing HAI 11-7-2008.doc Supporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Supporting Statement Part A -- Reducing HAI 11-7-2008.doc Supporting Statement A
Training Evaluation Form
Infection Prevention and Patient Safety Activity Catalogue Form
Follow-up Infection Rate Summary Form
Baseline Infection Rate Summary Form
Post-Training Infection Prevention and Safety Assessment Form
Pre-Training Infection Prevention and Safety Assessment Form

All Historical Document Collections

200807-0935-001

Approved with change

New collection (Request for a new OMB Control Number)

2008-07-02