OMB control number
System Redesign for Value in Safety Net Hospitals and Delivery Systems
OMB 0935-0198 · HHS/AHRQ.
OMB 0935-0198
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Form #2 Collection of documentation | Form and Instruction |
| Form Form #1 In-person interviews | Form |
| Supporting Statement B -- System Redesign for Value in Safety Net Hospitals and Delivery Systems.doc | Supporting Statement B |
| Attachment D - Informed Consent Form.doc | Supplementary Document |
 Attachment C -- Federal Register Notice.pdf | Supplementary Document |
| Supporting Statement A -- System Redesign for Value in Safety Net Hospitals and Delivery Systems.doc | Supporting Statement A |
 Collection of documentation |
Form and Instruction |
| In-person interviews |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201205-0935-001 | New collection (Request for a new OMB Control Number) | 2012-05-04 | Approved without change |