SUBMISSION OF INFORMATION COLLECTION UNDER THE
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
DATE OF REQUEST: September 11, 2018
SUB AGENCY (I/C): HHS/AHRQ
TITLE: Request for Opioid Project Information from Patient Safety Organizations (PSOs)
Practice Center (EPC) Division
GENERIC CLEARANCE UNDER OMB#: 0925-0179 EXP. DATE: 11/30/2020
The Agency for Healthcare
Research and Quality (AHRQ) seeks feedback from AHRQ-listed PSOs
(see respondent description below) on their interest in and current
participation in opioid-related projects. The information gathering
sheet will aid in the planning of a one-day PSO Summit on Opioid
tools and projects in November of 2018. The Summit is a closed
meeting of PSOs. Opioids are a top priority of the department, and
both AHRQ and the AHRQ-listed PSOs are interested in finding ways to
improve the crisis we now face across the country.
TOTAL ANNUAL BURDEN APPROVED: 3,383 Hours Per year
BURDEN USED TO DATE: 404 hours.
BURDEN THIS REQUEST: 6.6 hours.
FEDERAL COST: The estimated annual cost to the Federal government is $689.13_____.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ______ NO _____x_ N/A
OBLIGATION TO RESPOND:
___x___ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
___x_ WEB SITE
____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
_____ IN PERSON INTERVIEW
_____ OTHER: ___________________________________
CONTACT INFORMATION:
NAME: _Erwin Brown______________________________
TELEPHONE NUMBER: 301.427.1652________________
EMAIL ADDRESS: _ebrown@ahrq.gov________________
| File Type | application/msword |
| File Title | Generic Clearance Form - 04/28/2008 |
| Subject | Generic Clearance Form - 04/28/2008 |
| Author | OD/USER |
| Last Modified By | SYSTEM |
| File Modified | 2018-09-11 |
| File Created | 2018-09-11 |