OMB control number
Evaluation of the 2009 CHIPRA Quality Demonstration Grant Program: Survey Data Collection
OMB 0935-0215 · HHS/AHRQ.
OMB 0935-0215
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Form #1 Pediatrician and Family Physicians Survey | Form and Instruction |
| SS Part B -- Evaluation of the 2009 CHIPRA Quality Demonstration Grant Program -- Survey Data Collection 8-22-2013.docx | Supporting Statement B |
| Attachment G - Confidentiality Pledge.docx | Supplementary Document |
 Attachment F -- Federal Register Notice.pdf | Supplementary Document |
| Attachment A - Authorizing Legislation.docx | Supplementary Document |
| Attachment E- CHIPRA physician survey reminder letter.docx | Supplementary Document |
| Attachment C -CHIPRA physician survey advance and cover letters.docx | Supplementary Document |
| Attachment D - CHIPRA_reminder postcard.docx | Supplementary Document |
| SS Part A -- Evaluation of the 2009 CHIPRA Quality Demonstration Grant Program -- Survey Data Collection 8-22-2013.docx | Supporting Statement A |
 Pediatrician and Family Physicians Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201308-0935-002 | New collection (Request for a new OMB Control Number) | 2013-08-26 | Approved without change |