OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Guide to Nursing Home Antimicrobial Stewardship

OMB 0935-0223 · HHS/AHRQ.

OMB 0935-0223

Latest Forms, Documents, and Supporting Material

Document Name
Form 5 Attachment E – Draft Guide to Nursing Home Antimicrobial Stewardship Form and Instruction
Form 4 Attachment D – Post-Intervention Interview Protocols Form and Instruction
Form 3 Attachment C – Proactive TA Discussion Protocol Form and Instruction
Form 2 Attachment B – Passive TA Collection Protocol Form and Instruction
Form 1 Pre-Intervention Interview Protocol Form and Instruction
Attachment_G-Consent_Forms.doc Supplementary Document
Attachment_F-Resident_and_Family_Information_Sheet_(19Feb14).doc Supplementary Document
NH_Guide_PRA_Part_B FINAL_v3.doc Supporting Statement B
NH_Guide_PRA_Part_A_FINAL.doc Supporting Statement A
Attachment E – Draft Guide to Nursing Home Antimicrobial Stewardship Form and Instruction
Attachment D – Post-Intervention Interview Protocols Form and Instruction
Attachment C – Proactive TA Discussion Protocol Form and Instruction
Attachment B – Passive TA Collection Protocol Form and Instruction
Pre-Intervention Interview Protocol Form and Instruction

All Historical Document Collections

201409-0935-001

Approved without change

New collection (Request for a new OMB Control Number)

2014-09-18