Evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program

OMB 0935-0190

Latest Forms, Documents, and Supporting Material

Document Name
Form 15 Adolescent Pre-Focus Group Interview Script Form and Instruction
Form 14 Adolescent Telephone Screening Script Form and Instruction
Form 13 Adolescent Focus Group Protocol Form and Instruction
Form 12 Parent Pre-Focus Group Interview Script Form and Instruction
Form 11 Parent Telephone Screening Script Form and Instruction
Form 10 Parent Focus Group Protocol Form and Instruction
Form Form #5 Non-demonstration States Interviews Form and Instruction
Form 8 Health Care Provider Interviews Form and Instruction
Form 4 Stakeholder Interviews Form and Instruction
Form 2 Implementation Staff Interviews Form and Instruction
Form Form #1 Key Staff Interviews Form and Instruction
CHIPRASupporting Statement Part B -- Revised Feb 14 2014.docx Supporting Statement B
Attachment A - Authorizing Legislation.docx Supplementary Document
Attachment X- Confidentiality Pledge.docx Supplementary Document
Attachment W- Provider Site Recruitment Letters 7-23-2013.docx Supplementary Document
Attachment V - Technical Expert Panel Members.docx Supplementary Document
Attachment T- CHIPRA Quality Demonstration Evaluation Research Questions.docx Supplementary Document
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx Supplementary Document
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx Supplementary Document
Attachment Q- 2014 Adolescent Focus Group Recruitment Materials.docx Supplementary Document
Attachment O- Informed Consent Forms.docx Supplementary Document
Attachment L- 2014 Parent Focus Group Recruitment Materials.docx Supplementary Document
Attachment L- 2014 Parent Focus Group Recruitment Materials.docx Supplementary Document
Attachment L- 2014 Parent Focus Group Recruitment Materials.docx Supplementary Document
Attachment O- Informed Consent Forms.docx Supplementary Document
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document
Attachment C- Interview Request and Confirmation Emails.docx Supplementary Document
CHIPRASupporting Statement Part A -- Revised Feb 14 2014.docx Supporting Statement A
Adolescent Pre-Focus Group Interview Script Form and Instruction
Adolescent Telephone Screening Script Form and Instruction
Adolescent Focus Group Protocol Form and Instruction
Parent Pre-Focus Group Interview Script Form and Instruction
Parent Telephone Screening Script Form and Instruction
Parent Focus Group Protocol Form and Instruction
Non-demonstration States Interviews Form and Instruction
Health Care Provider Interviews Form and Instruction
Stakeholder Interviews Form and Instruction
Implementation Staff Interviews Form and Instruction
Key Staff Interviews Form and Instruction