OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Improving Patient Safety System Implementation for Patients with Limited English Proficiency

OMB 0935-0178 · HHS/AHRQ.

OMB 0935-0178

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form #11 Semi-Structured Site visit interviewForm and Instruction
Form Form #10 Semi-Structured Follow-up interviewForm and Instruction
Form Form #9 Patient Outcome SurveyForm and Instruction
Form Form #8 Post-training Behavior SurveyForm and Instruction
Form Form #7 Pre-Training Behavior SurveyForm and Instruction
Form Form #6 Learning Outcomes SurveyForm and Instruction
Form Form #5 Training Participant Satisfaction SurveyForm and Instruction
Form Form #4 Staff TrainingForm and Instruction
Form Form #3 Master Trainer TrainingForm and Instruction
Form Form #2 Pre-Work for Master-TrainingForm and Instruction
Form Form #1 Readiness Assessment SurveyForm and Instruction
Supporting Statement Part B -- Improving Patient Safety System Implementation for Patients with LEP 5 10 11.docxSupporting Statement B
Attachment M -- Federal Register Notice.pdf Supplementary Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Supporting Statement Part A -- Improving Patient Safety System Implementation for Patients with LEP 5-6-11.docSupporting Statement A
Semi-Structured Site visit interview Form and Instruction
Semi-Structured Follow-up interview Form and Instruction
Patient Outcome Survey Form and Instruction
Post-training Behavior Survey Form and Instruction
Pre-Training Behavior Survey Form and Instruction
Learning Outcomes Survey Form and Instruction
Training Participant Satisfaction Survey Form and Instruction
Staff Training Form and Instruction
Master Trainer Training Form and Instruction
Pre-Work for Master-Training Form and Instruction
Readiness Assessment Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201103-0935-001 New collection (Request for a new OMB Control Number) 2011-03-26 Approved with change