OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow

OMB 0935-0208 · HHS/AHRQ.

OMB 0935-0208

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form #6 Summary of Diabetes Self Care Activities SurveyForm and Instruction
Form Form #5 Patient Activation Measures SurveyForm and Instruction
Form Form #4 Patient Semi-Structured InterviewsForm and Instruction
Form Form #3 Technology Acceptance Model SurveyForm and Instruction
Form Form #2 Staff Semi-Structured InterviewsForm and Instruction
Form Form #1 Project orientation meetingForm and Instruction
SS Part B -- Using HIT in Practice Redesign - Impact of HIT on Workflow 11-13-2012.docxSupporting Statement B
Attachment K -- AHRQs response to Public Comments.docx Supplementary Document
Attachment J -- Public Comment from TMA.pdf Supplementary Document
Attachment I -- Federal Register Notice.pdf Supplementary Document
Attachment B -- Direct Observations Field Notes Form.doc Supplementary Document
Attachment C -- Directions for Artifact and Spatial Data Collection.docx Supplementary Document
Attachment M -- Consent Form to Participate in Patient Interview.docx Supplementary Document
Attachment L -- Consent Form to Participate in Clinic Staff Interview.docx Supplementary Document
SS Part A -- Using HIT in Practice Redesign - Impact of HIT on Workflow 11-6-2012.docxSupporting Statement A
Summary of Diabetes Self Care Activities Survey Form and Instruction
Patient Activation Measures Survey Form and Instruction
Patient Semi-Structured Interviews Form and Instruction
Technology Acceptance Model Survey Form and Instruction
Staff Semi-Structured Interviews Form and Instruction
Project orientation meeting Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201301-0935-001 New collection (Request for a new OMB Control Number) 2013-01-15 Approved without change