OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Establishing Comparative Data for the Medical Office Survey on Patient Safety

OMB 0935-0148 · HHS/AHRQ.

OMB 0935-0148

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #3 Post-Survey Evaluation Form and Instruction
Form Form #2 Office Characteristics Survey Form and Instruction
Form Form #1 Medical Office Survey on Patient Safety Form and Instruction
Document.pdf Supplementary Document
Attachment D -- Post-Survey Evaluation.doc Supplementary Document
Supporting Statement Part B -- Establishing Comparative Data for the MOSOPS 05-06-09.doc Supporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Supporting_Statement_Part_A_--_Establishing_Comparative_Data_for_the_MOSOPS_05-06-09[1] Supporting Statement A
Post-Survey Evaluation Form and Instruction
Office Characteristics Survey Form and Instruction
Medical Office Survey on Patient Safety Form and Instruction

All Historical Document Collections

200812-0935-002

Approved with change

New collection (Request for a new OMB Control Number)

2008-12-17