OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Updating and Expanding the AHRQ Quality Indicators Toolkit for Hospitals

OMB 0935-0164 · HHS/AHRQ.

OMB 0935-0164

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #4 AHRQ QI Data Collection Tool Form and Instruction
Form Old - Form #3 Usability Testing Protocol Form and Instruction
Form Old - Form #2 Quarterly Update Protocol Form and Instruction
Form Old - Form #1 Pre/Post-Test Interview Protocol Form and Instruction
Attachment H -- Recruitment Letter.docx Supplementary Document
Attachment A --- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Attachment G -- RAND Human Subjects Protection Committee (IRB) Exemption Notice.pdf Supplementary Document
Attachment F -- Informed consent form for pre-post interview.docx Supplementary Document
Supporting Statement Part B FINAL.docx Supporting Statement B
Supporting Statement Part A Final 9.09.2014.docx Supporting Statement A
AHRQ QI Data Collection Tool Form and Instruction
Usability Testing Protocol Form and Instruction
Quarterly Update Protocol Form and Instruction
Pre/Post-Test Interview Protocol Form and Instruction

All Historical Document Collections

201408-0935-001 Approved with change	Reinstatement with change of a previously approved collection	2014-08-19
201003-0935-001 Approved with change	New collection (Request for a new OMB Control Number)	2010-03-24