OMB control number

Study of Factors Influencing Consumer Choices Among Health Plans and Clinicians

OMB 0935-0161 · HHS/AHRQ.

OMB 0935-0161

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form Form #16 Health Plan Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction
Form Form #15 Health Plan Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction
Form Form #14 Health Plan Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction
Form Form #13 Health Plan Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction
Form Form #12 Health Plan Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction
Form Form #11 Health Plan Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction
Form Form #10 Health Plan Choice Experiment -- Experimental Website	Form and Instruction
Form Form #9 Health Plan Choice Experiment -- Pretest	Form and Instruction
Form Form #8 Clinician Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction
Form Form #7 Clinician Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction
Form Form #6 Clinician Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction
Form Form #5 Clinician Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction
Form Form #4 Clinician Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction
Form Form #3 Clinician Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction
Form Form #2 Clinician Choice Experiment -- Experimental Website	Form and Instruction
Form Form #1 Clinician Choice Experiment -- Pretest	Form and Instruction
Attachment W -- Distribution of CAHPS and HEDIS Scores and Anecdote Assignment.doc	Supplementary Document
Attachment X -- Anecdote Construction.doc	Supplementary Document
Attachment Y -- Outcome and Process Variables .doc	Supplementary Document
KN Informed Consent_v5(2).doc	Supplementary Document
KN Confidentiality and Privacy Protections Doc for IRBs.doc	Supplementary Document
Supporting Statement Part B -- Consumer Choice Study 12 21 09.doc	Supporting Statement B
Attachment V -- Response to Public Comments from the ANA and HPNA.doc	Supplementary Document
Attachment U -- Public Comments from the ANA and HPNA.pdf	Supplementary Document
Attachment D - Health Plan Experiment Invitation.doc	Supplementary Document
Attachment C - Clinician Choice Experiment Invitation.doc	Supplementary Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document
Attachment T -- 30 Day FRN -- Study of Factors Influencing Consumer Choice Among Health Plans & Clinicians.pdf	Supplementary Document
Supporting Statement Part A -- Consumer Choice Study 12 18 09.pdf	Supporting Statement A
Health Plan Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction
Health Plan Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction
Health Plan Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction
Health Plan Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction
Health Plan Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction
Health Plan Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction
Health Plan Choice Experiment -- Experimental Website	Form and Instruction
Health Plan Choice Experiment -- Pretest	Form and Instruction
Clinician Choice Experiment -- Experimental Arm #5 Post-test	Form and Instruction
Clinician Choice Experiment -- Experimental Arm #4 Post-test	Form and Instruction
Clinician Choice Experiment -- Experimental Arm #3 Post-test	Form and Instruction
Clinician Choice Experiment -- Experimental Arm #2 Post-test	Form and Instruction
Clinician Choice Experiment -- Experimental Arm #1 Post-test	Form and Instruction
Clinician Choice Experiment -- Baseline/Control Arm Post-test	Form and Instruction
Clinician Choice Experiment -- Experimental Website	Form and Instruction
Clinician Choice Experiment -- Pretest	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
200909-0935-001	New collection (Request for a new OMB Control Number)	2009-09-10		Approved with change