OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Evaluation of Phase I Demonstrations of the Pharmacy Quality Alliance

OMB 0935-0155 · HHS/AHRQ.

OMB 0935-0155

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #2 Survey of Pharmacists Form and Instruction
Form Form #1 Demonstration Staff Interviews Form and Instruction
Attachment H -- Advance Email To Demonstration Leaders 10-19-2009.doc Supplementary Document
Supporting Statement Part B -- Evaluation of Phase I Demonstration 10-23-2009.doc Supporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Attachment G -- Reminder Letter 10-19-2009.doc Supplementary Document
Attachment F -- Cover Letter 10-19-2009.doc Supplementary Document
Attachment E -- Advance Letter 10-19-2009.doc Supplementary Document
Supporting Statement Part A -- Evaluation of Phase I Demonstration 10-23-2009.doc Supporting Statement A
Survey of Pharmacists Form and Instruction
Demonstration Staff Interviews Form and Instruction

All Historical Document Collections

200905-0935-001

Approved with change

New collection (Request for a new OMB Control Number)

2009-05-07