OMB.report

Federal forms, ICRs, and supporting documents

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 Name
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All Historical Document Collections

202202-0935-001

Approved with change

New collection (Request for a new OMB Control Number)

2022-03-01