OMB.report

Federal forms, ICRs, and supporting documents

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 Name
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All Historical Document Collections

201202-0935-001

Approved with change

New collection (Request for a new OMB Control Number)

2012-02-02