Practices in network participating in Heart Health QI project

Programmatic Information Collection for the AHRQ Initiative to Support Primary Care to Advance Cardiovascular Health in States with High Prevalence of Preventable CVD Events

Documents and Forms

Document Name Document Type
Form 4 Practices in network participating in Heart Health QI project Form and Instruction
4 Attachment D: Practices Participating and Non-participat Attachment D.DOCX Form and Instruction
4 Attachment D: Practices Participating and Non-participat Attachment D.DOCX Form and Instruction

Information Collection (IC) Details

IC Title:	Practices in network participating in Heart Health QI project	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4	Attachment D: Practices Participating and Non-participating in Implementing a QI Strategy – Interview Protocol	Attachment D.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.