OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Health IT Tool Evaluation

OMB 0935-0182 · HHS/AHRQ.

OMB 0935-0182

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #4 Discussion Groups Form and Instruction
Form Form #3 Usability Testing Form and Instruction
Form Form #2 Needs Assessment Form and Instruction
Form Form #1 Screening Questionnaire Form and Instruction
Supporting Statement Part B - Health IT Tool Evaluation 6-2-2011.docx Supporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Attachment J -- Public Comment and AHRQs Response.docx Supplementary Document
Attachment I -- Federal Register Notice.pdf Supplementary Document
Attachment H -- Recruiting Communication Scheduling Protocol.docx Supplementary Document
Attachment G -- Recruiting Communication Flyer.docx Supplementary Document
Attachment F -- Recruiting Communication Request to Organizations.docx Supplementary Document
Supporting Statement Part A - Health IT Tool Evaluation 6-2-2011.docx Supporting Statement A
Discussion Groups Form and Instruction
Usability Testing Form and Instruction
Needs Assessment Form and Instruction
Screening Questionnaire Form and Instruction

All Historical Document Collections

201106-0935-004

Approved without change

New collection (Request for a new OMB Control Number)

2011-06-09