OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Pharmacy Survey on Patient Safety Culture Database

OMB 0935-0218 ยท HHS/AHRQ.

OMB 0935-0218

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 2 Attachment B: Pharmacy Database Data Use AgreementForm and Instruction
Form 3 Attachment C: Pharmacy Site Information FormForm and Instruction
Form 1 Pharmacy SOPS Registration FormForm and Instruction
Attachment G - Example Screenshots of Pharmacy SOPS Data Submission Web Site_updated 6-13-17_clean.docx Supplementary Document
Attachment F - SOPS Databases TEP List_updated 6-13-17_clean.doc Supplementary Document
Supporting Statement Part B -- Pharm DB Renewal _OMB 6-13-17_clean.docSupporting Statement B
Supporting Statement Part A -- Pharm DB Renewal_OMB 6-13-17_clean.docxSupporting Statement A
Attachment E - Community Pharmacy Survey Data File Specifications_updated 6-13-17_clean.docx Supplementary Document
Data Submission Emails Instruction
Pharmacy SOPS Database Data Use Agreement Form and Instruction
Pharmacy Background Characteristics Form Form and Instruction
Pharmacy SOPS Registration Form Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201702-0935-001 Discontinue 2020-02-04 Approved
201403-0935-003 New collection (Request for a new OMB Control Number) 2014-04-02 Approved with change