Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality

ICR 200702-0935-001

OMB: 0935-0106

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2007-01-19
ICR Details
0935-0106 200702-0935-001
Historical Active 200607-0935-001
HHS/AHRQ
Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/11/2007
Retrieve Notice of Action (NOA) 02/01/2007
  Inventory as of this Action Requested Previously Approved
01/31/2008 01/31/2008 01/31/2008
103,400 0 103,400
16,356 0 16,356
0 0 515,732,000

Surveys will assess strengths and weaknesses of agency program services including querying individuals using AHRQ paper and electronic products to determine satisfaction with form and content or to assess effects of streamlining efforts.

None
None

Not associated with rulemaking

No

1
IC Title Form No. Form Name
Evaluation of AHRQ's Guide to Clincial Preventive Services--Semi-structured Interview

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 103,400 103,400 0 0 0 0
Annual Time Burden (Hours) 16,356 16,356 0 0 0 0
Annual Cost Burden (Dollars) 0 515,732,000 0 -515,732,000 0 0
No
Yes
Miscellaneous Actions
This change request is to reduce the respondent cost burden from $515,732,000 to $0. The amount of $515,732,000 was entered by mistake, so this change request is to correct a mistake.

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/19/2007


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