OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

AHRQ ACTION III – Measurement for Performance Improvement in Physician Practices

OMB 0935-0233 · HHS/AHRQ.

OMB 0935-0233

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Medical group administrators : All other administrators (Attachment C) Form
Form 1 Medical group administrators: Initial, highest level administrators (Attachment C) Form
Form 1 Medical group administrators Form
Form 1 Frontline Clinicians (Attachment C) Form and Instruction
AHRQ MPI_PRA_Supporting Statement Part B__3-25-2016.docx Supporting Statement B
AHRQ MPI_PRA_Supporting Statement Part A 10172016.docx Supporting Statement A
AHRQ MPI_Attachment D_Interview Consent Form_v2 (3-28-2016).docx Supplementary Document
AHRQ MPI_Attachment C_Interview Protocol_v2 (3-28-2016).docx Supplementary Document
AHRQ MPI_Attachment B_TEP.docx Supplementary Document
Medical group administrators : All other administrators (Attachment C) Form
Medical group administrators: Initial, highest level administrators (Attachment C) Form
Medical group administrators Form
Frontline Clinicians (Attachment C) Form and Instruction

All Historical Document Collections

201606-0935-002

Approved with change

New collection (Request for a new OMB Control Number)

2016-06-21