OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Improving Sickle Cell Transitions of Care through Health Information Technology Phase 1

OMB 0935-0213 · HHS/AHRQ.

OMB 0935-0213

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form #10 Key Informant InterviewsForm and Instruction
Form Form #9 Patients mixed ages Focus GroupForm and Instruction
Form Form #8 Patients 18 & older Focus GroupForm and Instruction
Form Form #7 Patients 14-17 Focus GroupForm and Instruction
Form Form #6 Patients 9-13 Focus GroupForm and Instruction
Form Form #5 IT Developer Focus GroupForm and Instruction
Form Form #4 Parent/Caregiver Focus GroupsForm and Instruction
Form Form #3 Provider Focus GroupsForm and Instruction
Form Form #2 Demographic QuestionnaireForm and Instruction
Form Form #1 Focus Group ScreenerForm and Instruction
SS Part B -- Improving Sickle Cell Transitions of Care through HIT Phase 1 3-7-2013.docSupporting Statement B
Attachment 13 - Justification of Focus Group Allocation by Site.docx Supplementary Document
Attachment 12 - Part A Bibliographical References.docx Supplementary Document
Attachment 11 - Consent & Assent Forms.doc Supplementary Document
Attachment 10 - Federal Register Notice.doc Supplementary Document
SS Part A -- Improving Sickle Cell Transitions of Care through HIT Phase 1 01-17-2013.docSupporting Statement A
Key Informant Interviews Form and Instruction
Patients mixed ages Focus Group Form and Instruction
Patients 18 & older Focus Group Form and Instruction
Patients 14-17 Focus Group Form and Instruction
Patients 9-13 Focus Group Form and Instruction
IT Developer Focus Group Form and Instruction
Parent/Caregiver Focus Groups Form and Instruction
Provider Focus Groups Form and Instruction
Demographic Questionnaire Form and Instruction
Focus Group Screener Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201305-0935-002 New collection (Request for a new OMB Control Number) 2013-05-20 Approved without change