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Form 1 Patient Portal Online Survey Screenshot
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Patient Portal Online Survey Screenshots 9 23 2016 w OMB control and exp date Final
Health Information Technology Patient Satisfaction Survey (CC)
OMB: 0925-0648
OMB.report
HHS/NIH
OMB 0925-0648
ICR 201802-0925-002
IC 230121
Form 1 Patient Portal Online Survey Screenshot
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0648 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-08-25 - No material or nonsubstantive change to a currently approved collection
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OMB No. 0925-0648 Expiration Date: 03/2018
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Lardner, Michelle (NIH/CC/DCRI) [E]
File Modified
0000-00-00
File Created
2021-01-21
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