OMB control number
Pre-test of an Assisted Living Consensus Instrument
OMB 0935-0188 ยท HHS/AHRQ.
OMB 0935-0188
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Form #2 Pre-test | Form and Instruction |
 Form Form #1 Telephone verification | Form and Instruction |
| Supporting Statement Part B -- Pretest of an Assisted Living Consensus Instrument_11-22-2011.doc | Supporting Statement B |
| Attachment A -- Healthcare Research and Quality Act of 1999.pdf | Supplementary Document |
| Attachment E -- Federal Register Notice.pdf | Supplementary Document |
| Attachment G -- Confidentiality Agreement for Contractor Staff.doc | Supplementary Document |
| Attachment F -- Individual Participants of the ALDC.pdf | Supplementary Document |
 Attachment B -- Organizational Participants of the ALDC.docm | Supplementary Document |
| Attachment H -- Recruitment Letter, Brochure & Followup Postcards.docm | Supplementary Document |
 Supporting Statement Part A -- Pretest of an Assisted Living Consensus Instrument 11-22-2011.docx | Supporting Statement A |
 Pre-test |
Form and Instruction |
| Telephone verification |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201108-0935-001 | New collection (Request for a new OMB Control Number) | 2011-08-02 | Approved with change |