OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Assessing the Feasibility of Disseminating Effective Health Center Products through Mobile Phone Applications

OMB 0935-0193 · HHS/AHRQ.

OMB 0935-0193

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #5 Feedback Questionnaire for Patients Visiting Mobile Web site Form
Form Form #4 Feedback Questionnaire for Patients Requesting Mailed Guides Form
Form Form #3 Patient Interviews Form and Instruction
Form Form #2 Focus Groups with Support Staff Form and Instruction
Form Form #1 Focus Groups with Clinicians Form and Instruction
Supporting Statement Part B -- Assessing the Feasibility of Disseminating EHC Products through Mobile Phone Apps 5-25-2012.docx Supporting Statement B
Attachment H -- Federal Register Notice.pdf Supplementary Document
Attachment B -- User Tested Cell Phone Messages.doc Supplementary Document
Attachment A -- Promotional Materials.pdf Supplementary Document
Supporting Statement Part A -- Assessing the Feasibility of Disseminating EHC Products through Mobile Phone Apps 5-25-2012.docx Supporting Statement A
Feedback Questionnaire for Patients Visiting Mobile Web site Form
Feedback Questionnaire for Patients Requesting Mailed Guides Form
Patient Interviews Form and Instruction
Focus Groups with Support Staff Form and Instruction
Focus Groups with Clinicians Form and Instruction

All Historical Document Collections

201202-0935-002

Approved with change

New collection (Request for a new OMB Control Number)

2012-02-03