OMB control number
Testing Experience and Functional Tools Demonstration: Personal Health Record (PHR) User Survey (CMS-10623)
OMB 0938-1324 · HHS/CMS.
OMB 0938-1324
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10623 Personal Health Record (PHR) User Survey | Form |
| CMS-10623 - Supporting Statement A [rev 10-04-2016 by OSORA PRA].docx | Supporting Statement A |
| Appendix D - TEFT OMB 60-day comments.docx | Supplementary Document |
| OMB Package Supporting Statement B - TEFT PHR User Survey - Sept 2016_508.docx | Supporting Statement B |
 Personal Health Record (PHR) User Survey |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201609-0938-030 | New collection (Request for a new OMB Control Number) | 2016-10-05 | Approved without change |