EHPI-PALS Facility Survey

Early Hearing Detection and Intervention - Pediatric Audiology Links to Service (EHDI-PALS) Facility Survey

Att 4a_revisedSurvey_EHDI_PALS-v4

EHPI-PALS Facility Survey

OMB: 0920-0955

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0955 can be found here:

2017-02-16 - Revision of a currently approved collection

Document [docx]

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Attachment 4 – Revised Survey

Note: the 2 new questions we propose to add that query how a facility set up service by telepractice technology are highlighted in blue on page 20 and 21

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Winnie Chung
File Modified	0000-00-00
File Created	2021-01-28