OMB control number

Connecting Primary Care Practices with Hard-to-Reach Adolescent Populations

OMB 0935-0184 · HHS/AHRQ.

OMB 0935-0184

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form Form #11 Review of Draft Manual Interview Guide	Form and Instruction
Form Form #10 Administrator-Staff Interview Guide	Form and Instruction
Form Form #9 Clinician Interview Guide	Form and Instruction
Form Form #8 Adolescent Think Aloud Guide	Form and Instruction
Form Form #7 Adolescent Focus Group Guide	Form and Instruction
Form Form #6 Post-Visit Survey	Form and Instruction
Form Form #4 Adolescent Behavior and Communication Survey Baseline	Form and Instruction
Form Form #5 Adolescent Behavior and Communication Survey 6 Months	Form and Instruction
Form Form #3 Adolescent behavior and communication survey consent-assent form	Form and Instruction
Form Form #2 Extraction of medical record data	Form and Instruction
Form Form #1 RAAPS Questionnaire	Form and Instruction
Supporting Statement Part B -- Connecting PCP with Hard to Reach Adolescent Pop 3-8-2011.doc	Supporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document
Attachment N -- Federal Register Notice.pdf	Supplementary Document
Attachment D -- Adolescent Behavior and Communication Survey Information Letter.doc	Supplementary Document
Supporting Statement Part A -- Connecting PCP with Hard to Reach Adolescent Pop 9-12-2011.doc	Supporting Statement A
Semi-structured interviews for the draft manual	Form and Instruction
Administrator-staff semi-structured interviews	Form and Instruction
Clinician semi-structured interviews	Form and Instruction
Adolescent "think-aloud" sessions	Form and Instruction
Adolescent focus groups	Form and Instruction
Post-visit satisfaction survey	Form and Instruction
Adolescent behavior and communication survey	Form and Instruction
Adolescent behavior and communication survey	Form and Instruction
Adolescent behavior and communication survey consent-assent form	Form and Instruction
Extraction of medical record data	Form and Instruction
RAAPS questionnaire	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201104-0935-003	New collection (Request for a new OMB Control Number)	2011-04-12		Approved with change