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 | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201606-0935-002 | New collection (Request for a new OMB Control Number) | 2016-06-21 | Approved with change |