OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Spreading Techniques to Radically Reduce Antibiotic Resistant Bacteria (Methicillin Resistant Staphylococcus aureus, or MRSA)

OMB 0935-0168 · HHS/AHRQ.

OMB 0935-0168

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #6 Patient Healthcare Use Questionnaire Form and Instruction
Form Form #5 Implementation Assessment Interviews Form and Instruction
Form Form #4 Culture Questionnaire Form and Instruction
Form Form #3 Social Network Analysis Questionnaire Form and Instruction
Form Form #2 Observational Data Collection Form and Instruction
Attachment G -- Patient Health Care Use Questionnaire.doc Supplementary Document
Attachment D -- Social Network Analysis Questionnaire.doc Supplementary Document
Supporting Statement Part B -- Spreading Techniques to Radically Reduce MRSA 9-15-2010.docx Supporting Statement B
Attachment H -- 30 Day FRN.pdf Supplementary Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Supporting Statement Part A -- Spreading Techniques to Radically Reduce MRSA 9-15-2010-1.doc Supporting Statement A
Patient Healthcare Use Questionnaire Form and Instruction
Implementation Assessment Interviews Form and Instruction
Culture Questionnaire Form and Instruction
Social Network Analysis Questionnaire Form and Instruction
Observational Data Collection Form and Instruction
Electronic Medical Record Data Collection Other-List of variables extracted

All Historical Document Collections

201007-0935-001

Approved with change

New collection (Request for a new OMB Control Number)

2010-07-01