AHRQ.gov Taxonomy Tree Test

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Form 1 AHRQ.gov Taxonomy Tree Test Form and Instruction
1 AHRQ.gov Taxonomy Tree Test Appendix A -- Data collection instruments.docx Form and Instruction
1 AHRQ.gov Taxonomy Tree Test Appendix A -- Data collection instruments.docx Form and Instruction
OMB Cover Letter.doc Cover Letter IC Document
OMB Cover Letter.doc Cover Letter IC Document
AHRQ.gov Taxonomy Tree Test OMB Submission.docx Supporting Statement IC Document
AHRQ.gov Taxonomy Tree Test OMB Submission.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	AHRQ.gov Taxonomy Tree Test	Agency IC Tracking Number:

IC Status: Unchanged

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	1	AHRQ.gov Taxonomy Tree Test	Appendix A -- Data collection instruments.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Letter	OMB Cover Letter.doc	01/08/2015
Supporting Statement	AHRQ.gov Taxonomy Tree Test OMB Submission.docx	01/08/2015

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