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Health Care Providers and Suppliers
OMHA Annual Appellant Climate Survey
OMB: 0990-0330
IC ID: 184625
OMB.report
HHS/HHSDM
OMB 0990-0330
ICR 202403-0990-005
IC 184625
( )
Documents and Forms
Document Name
Document Type
Form Appendix B1
Health Care Providers and Suppliers
Form and Instruction
Appendix B1 Appellant Climate Survey Telephone English
Appendix B1 Appellant Climate Survey - Telephone (English).docx
Form and Instruction
Appendix B2 Appellant Climate Survey Telephone Spanish
Appendix B2 Appellant Climate Survey - Telephone (Spanish).docx
Form and Instruction
Appendix B3 Appellant Climate Survey - Mail (English).docx
Other-Appellant Climate Survey Mail English
Appendix B4 Appellant Climate Survey - Mail (Spanish).docx
Other-Survey Mail Spanish
Appendix B5 Appellant Climate Survey - Web (English).docx
Other-Survey Web English
Appendix B6 Appellant Climate Survey - Web (Spanish).docx
Other-Survey Web Spanish
Appendix D1 Estimates of Respondent Burden OMHA (1).xlsx
Burden Table
IC Document
Information Collection (IC) Details
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