OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Pilot Test of the Proposed Hospital Survey on Patient Safety Culture Version 2.0

OMB 0935-0230 · HHS/AHRQ.

OMB 0935-0230

Latest Forms, Documents, and Supporting Material

Document Name
Form 3 Pilot test and bridge study Form and Instruction
Form 2 – Draft Health IT Patient Safety Supplemental Item Set Cognitive Interview Guide Form and Instruction
Form 1 Attachment C – Draft HSOPS 2.0 Cognitive Interview Guide Form and Instruction
Supporting Statement Part A -- Pilot Test of HSOPS 2 0 -- 9-2-15.docx Supporting Statement A
ENA Reply.docx Supplementary Document
Attachment H - TEP Members_3-20-15.docx Supplementary Document
Supporting Statement Part B -- Pilot Test of HSOPS 2 0 -- 3-20-15.docx Supporting Statement B
Pilot test and bridge study Form and Instruction
– Draft Health IT Patient Safety Supplemental Item Set Cognitive Interview Guide Form and Instruction
Attachment C – Draft HSOPS 2.0 Cognitive Interview Guide Form and Instruction

All Historical Document Collections

201508-0935-001

Approved without change

New collection (Request for a new OMB Control Number)

2015-09-03