OMB Cover Letter

OMB Cover Letter 01242025.docx

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

OMB Cover Letter

OMB: 0935-0179

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SUBMISSION OF INFORMATION COLLECTION UNDER THE

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey


DATE OF REQUEST: January 24th, 2025


SUB AGENCY (I/C): HHS/AHRQ


TITLE: Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey



GENERIC CLEARANCE UNDER OMB#: 0935-0179 EXP. DATE: 11/30/2026


ABSTRACT:



The AHRQ QIs are standardized, evidence-based quality measures that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes, including inpatient mortality, surgical complications, and certain hospital-acquired infections. They address quality of care for patients hospitalized for a broad range of procedures or conditions that are high risk, problem prone, and/or high volume. The purpose of this survey is to gather feedback about the AHRQ QIs, with an emphasis on their use to support hospital quality improvement efforts.



Organizations that download MONAHRQ and generate reports to help improve health care are referred to as “Host Users.” The Future of MONAHRQ Survey 2014 will be accessible to current and prospective Host Users. Examples of Host Users include: state agencies, public health departments, hospital associations, hospital systems, and individual hospitals, multi-stakeholder alliances and coalitions, Quality Improvement Organizations (QIOs), and health plans.












TOTAL ANNUAL BURDEN APPROVED: 3,383 Hours Per year

BURDEN USED TO DATE: 297 hours (after removing specified Gen ICs).

BURDEN THIS REQUEST: 50 hours.


FEDERAL COST: The estimated annual cost to the Federal government is $982.


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: _Amie Park______________________________

TELEPHONE NUMBER: 301.427.1662________________

EMAIL ADDRESS: _ Amie.Park@ahrq.hhs.gov________________

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Form - 04/28/2008
SubjectGeneric Clearance Form - 04/28/2008
AuthorOD/USER
File Modified0000-00-00
File Created2025-01-25

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