OMB control number
AHRQ's National Nursing Home COVID-19 Coordinating Center
OMB 0935-0261 · HHS/AHRQ.
OMB 0935-0261
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 3 Attachment E: Nursing Home Key Informant Interview | Form and Instruction |
| Form 2 Attachment B: Survey instrument - nonparticipant | Form and Instruction |
| Form 1 Attachment B: Survey instrument - participant | Form and Instruction |
| AHRQ_NHCCC_SSA_02_10_2022.docx | Supporting Statement A |
| Attachment_D_Key_Informant_Interview_Information_Sheet_10-15-2021.docx | Supplementary Document |
| Attachment_C_Key_Informant_Interview_Recruitment_Materials_10-15-2021.docx | Supplementary Document |
| Attachment_A_Invitation Letter_NonParticipant_10-15-2021.docx | Supplementary Document |
| AHRQ_NHCCC_SSB_02_10_2022.docx | Supporting Statement B |
 Attachment E: Nursing Home Key Informant Interview |
Form and Instruction |
| Attachment B: Survey instrument - nonparticipant |
Form and Instruction |
| Attachment B: Survey instrument - participant |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202202-0935-001 | New collection (Request for a new OMB Control Number) | 2022-03-01 | Approved with change |