OMB control number
Assessing the Feasibility of Disseminating Effective Health Care Products through a Shared Electronic Medical Record Serving Member Organizations of a Health Information Exchange
OMB 0935-0192 · HHS/AHRQ.
OMB 0935-0192
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Form #4 Survey of Clinicians | Form |
| Form Form #3 Interviews with Patients | Form |
| Form Form #2 Interviews with Support Staff | Form |
| Form Form #1 Interviews with Clinicians | Form |
| Supporting Statement Part B -- Assessing the Feasibility of Disseminating ECH Products Through EMR 5-25-2012.docx | Supporting Statement B |
 Attachment E -- Federal Register Notice.pdf | Supplementary Document |
| Attachment F -- Description of Clinics.docx | Supplementary Document |
| Supporting Statement Part A -- Assessing the Feasibility of Disseminating ECH Products Through EMR 5-25-2012.docx | Supporting Statement A |
 Survey of Clinicians |
Form |
| Interviews with Patients |
Form |
| Interviews with Support Staff |
Form |
| Interviews with Clinicians |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201202-0935-001 | New collection (Request for a new OMB Control Number) | 2012-02-02 | Approved with change |