OMB control number
Pilot Test of the Proposed Pharmacy Survey on Patient Safety Culture
OMB 0935-0183 · HHS/AHRQ.
OMB 0935-0183
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Form #3 Pharmacy background questionnaire | Form and Instruction |
 Form Form #2 Pretest | Form and Instruction |
| Form Form #1 Cognitive interviews | Form and Instruction |
| Supporting Statement Part B -- Pilot Test of the Proposed Pharmacy SOPS 8-9-11.docx | Supporting Statement B |
 Attachment F -- Federal Register Notice.pdf | Supplementary Document |
| Attachment A -- Healthcare Research and Quality Act of 1999.pdf | Supplementary Document |
| Attachment G -- List of expert reviewers and consultants.docx | Supplementary Document |
| Attachment D -- Pretest Cover Letter and Reminder Notice 2-8-11.docx | Supplementary Document |
| Supporting Statement Part A -- Pilot Test of the Proposed Pharmacy SOPS 8-9-11.docx | Supporting Statement A |
 Pharmacy background questionnaire |
Form and Instruction |
| Pretest |
Form and Instruction |
| Cognitive interviews |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201106-0935-002 | New collection (Request for a new OMB Control Number) | 2011-06-07 | Approved with change |