OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care: Evaluation of Awareness, Adoption, and Implementation

OMB 0990-0429 · HHS/HHSDM.

OMB 0990-0429

Latest Forms, Documents, and Supporting Material

Document Name
0990-NCSAppendix A - Overarching Evaluation Questions.docx Supplementary Document
0990-Appendix J - SRA NCS Evaluation Timeline (as of 1.26.15).docx Supplementary Document
0990-Appendix B - NCS Evaluation EQ Crosswalk.docx Supplementary Document
0990-National CLAS Standards Evaluation Informed Consent - Leadership Interview_June 1 2015.docx Supplementary Document
0990-National CLAS Standards Evaluation Informed Consent for Staff Survey_June 1 2015.docx Supplementary Document
0990-National CLAS Standards Evaluation Informed Consent - Leadership Interview_June 1 2015.docx Supplementary Document
0990-Section B National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care_June 1.docx Supporting Statement B
NCS Supporting Statement_June 8 2015_1200pm.docx Supporting Statement A
Assessment and Evaluation Plan Timeline_9-23-14.docx Supplementary Document
Informed Consent Form_9-23-14.docx Supplementary Document
National CLAS Standards Experience Form Other-form
Health and Healthcare Organization Screener Survey Other-screener
Health and Health Care Organization Staff Survey Other-survey
Health and Healthcare Organization Leadership Interview Other-interview
CLAS Stakeholder Interview Other-interview
National CLAS Standards Stakeholder Interview Other-interview

All Historical Document Collections

201412-0990-002

Approved without change

New collection (Request for a new OMB Control Number)

2015-01-06