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

Latest forms, documents, and information collections
Document	Type
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All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
200807-0935-001	New collection (Request for a new OMB Control Number)	2008-07-02		Approved with change