OMB control number

Testing Experience and Functional Tools Demonstration: Personal Health Record (PHR) User Survey (CMS-10623)

OMB 0938-1324 · HHS/CMS.

OMB 0938-1324

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10623 Personal Health Record (PHR) User Survey Form
CMS-10623 - Supporting Statement A [rev 10-04-2016 by OSORA PRA].docx Supporting Statement A
Appendix D - TEFT OMB 60-day comments.docx Supplementary Document
OMB Package Supporting Statement B - TEFT PHR User Survey - Sept 2016_508.docx Supporting Statement B
Personal Health Record (PHR) User Survey Form

All Historical Document Collections

201609-0938-030

2016-10-05