OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

AHRQ Healthcare Innovations Exchange Innovator Interview and AHRQ Healthcare Innovations Exchange Innovator Email Submission Guidelines

OMB 0935-0147 · HHS/AHRQ.

OMB 0935-0147

Latest Forms, Documents, and Supporting Material

Document Name
Form 4 Innovator review and approval of written profile Form and Instruction
Form Form #3 Annual follow-up reviews Form and Instruction
Form Form #2 Health care innovator interview Form and Instruction
Form Form #1 Email submission Form and Instruction
Attachment G -- Expert Consultation 11.14.13.doc Supplementary Document
Attachment F -- 30 Day Federal Register Notice.pdf Supplementary Document
Attachment E -- Web Sites that Offer Health Care Quality Improvement and Innovation Information 11.14.13.doc Supplementary Document
Attachment A -- Healthcare Research and Quality Act 1999.doc Supplementary Document
Supporting Statement Part A -- AHRQ Health Care Innovations Exchange 6-27-2014.docx Supporting Statement A
Innovator review and approval of written profile Form and Instruction
Annual follow-up reviews Form and Instruction
Health care innovator interview Form and Instruction
Email submission Form and Instruction

All Historical Document Collections

201406-0935-002 Approved without change	Reinstatement without change of a previously approved collection	2014-07-03
201102-0935-004 Approved with change	Revision of a currently approved collection	2011-02-25
200811-0935-001 Approved with change	New collection (Request for a new OMB Control Number)	2008-11-17