OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program

OMB 0935-0170 · HHS/AHRQ.

OMB 0935-0170

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Training participant questionnaire Form and Instruction
Form 2 Semi-structured interview Form and Instruction
Supporting Statement Part B_v3_2015-09-10 Comment.docx Supporting Statement B
Attachment G - 30 Day FRN.pdf Supplementary Document
ATTACHMENT B--Logic Model of Post-TeamSTEPPS Master Training Patient Safety Activities and Outcomes by Participant Role-v2.docx Supplementary Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
ATTACHMENT F -- AHRQ NITS Informed Consent Form.docx Supplementary Document
ATTACHMENT D -- Advance notice invitation reminder notices and thank you letters for training participant questionnaire-v2.docx Supplementary Document
ATTACHMENT F -- AHRQ NITS Informed Consent Form-v2.docx Supplementary Document
Supporting Statement Part A 2015-09-10 Comments.docx Supporting Statement A
Training participant questionnaire Form and Instruction
Semi-structured interview Form and Instruction

All Historical Document Collections

201507-0935-002 Approved without change	Revision of a currently approved collection	2015-07-16
201403-0935-002 Approved with change	Reinstatement without change of a previously approved collection	2014-03-28
201007-0935-003 Approved without change	New collection (Request for a new OMB Control Number)	2010-07-28