OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Overcoming Barriers to Expanded Health Information Exchange (HIE) Participation in Indiana

OMB 0935-0150 · HHS/AHRQ.

OMB 0935-0150

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #3 Telephone Follow-up Interview Form and Instruction
Form Form #2 Web-based Questionnaire Form and Instruction
Form Form #1 Screener Form and Instruction
Responses to OMB 6-10-2009.doc Supplementary Document
Attachment E -- Phone Interview Guide 7-7-2009.doc Supplementary Document
Attachment D -- Communication Packet 6-8-2009.doc Supplementary Document
Attachment C -- Screener script 6-8-2009.doc Supplementary Document
Supporting Statement Part B--Overcoming Barriers to HIE 06-10-2009.doc Supporting Statement B
Supporting Statement Part A--Overcoming Barriers to HIE 06-08-10.doc Supporting Statement A
Telephone Follow-up Interview Form and Instruction
Web-based Questionnaire Form and Instruction
Screener Form and Instruction

All Historical Document Collections

200812-0935-001

Approved with change

New collection (Request for a new OMB Control Number)

2008-12-17