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Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0935-0179
IC ID: 244395
OMB.report
HHS/AHRQ
OMB 0935-0179
ICR 202310-0935-001
IC 244395
( )
Documents and Forms
Document Name
Document Type
Form 1
Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance
Form and Instruction
1 AHRQ Data Tools Interview Guide
AHRQDA~1.DOC.docx
Form and Instruction
1 AHRQ Data Tools Interview Guide
AHRQDA~1.DOC.docx
Form and Instruction
Cover Page 2.docx
Cover Letter
IC Document
Cover Page 2.docx
Cover Letter
IC Document
OMB Supporting Statement-AHRQ-20200814-v2.docx
Supporting Statement
IC Document
OMB Supporting Statement-AHRQ-20200814-v2.docx
Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance
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 Data Tools Interview Guide
AHRQDA~1.DOC.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50
0
0
0
0
50
Annual IC Time Burden (Hours)
50
0
0
0
0
50
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Cover Letter
Cover Page 2.docx
11/04/2020
Supporting Statement
OMB Supporting Statement-AHRQ-20200814-v2.docx
11/04/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.