National Guideline Clearinghouse(TM) (NGC) National Quality Measures Clearinghouse(TM) (NQMC)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0106 can be found here:

Documents and Forms

Document Name Document Type
Form Form #1 National Guideline Clearinghouse(TM) (NGC) National Quality Measures Clearinghouse(TM) (NQMC) Form and Instruction
Form #1 Expert Commentary Response Form Attachment C -- Expert Commentary Response Form[1].doc www.guideline.gov Form and Instruction
Form #2 Recommended Readings Response Form Attachment E -- Recommended Readings Response Form[1].doc www.guideline.gov Form and Instruction
Supporting Statement Part A -- NGC NQMC.doc Supporting Statement Part A -- NGC NQMC IC Document
Attachment B -- Sample Expert Commentary.doc Attachment B -- Sample Expert Commentary IC Document
Attachment D -- NGC-NQMC Core Editorial Board.doc Attachment D -- NGC-NQMC Core Editorial Board IC Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Attachment A -- Healthcare Research and Quality Act of 1999 IC Document
Supporting Statement Part A -- NGC NQMC[1].DOC Supporting Statement REVISED IC Document
TERMS OF CLEARANCE.doc Terms of Clearance IC Document

Information Collection (IC) Details

IC Title:	National Guideline Clearinghouse(TM) (NGC) National Quality Measures Clearinghouse(TM) (NQMC)	Agency IC Tracking Number:

IC Status: New

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	Form #1	Expert Commentary Response Form	Attachment C -- Expert Commentary Response Form[1].doc	http://www.guideline.gov	Yes	Yes	Fillable Fileable
Form and Instruction	Form #2	Recommended Readings Response Form	Attachment E -- Recommended Readings Response Form[1].doc	http://www.guideline.gov	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	20	0	0	0	0	0
Annual IC Time Burden (Hours)	20	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A -- NGC NQMC	Supporting Statement Part A -- NGC NQMC.doc	03/19/2009
Attachment B -- Sample Expert Commentary	Attachment B -- Sample Expert Commentary.doc	03/19/2009
Attachment D -- NGC-NQMC Core Editorial Board	Attachment D -- NGC-NQMC Core Editorial Board.doc	03/19/2009
Attachment A -- Healthcare Research and Quality Act of 1999	Attachment A -- Healthcare Research and Quality Act of 1999.pdf	03/19/2009
Supporting Statement REVISED	Supporting Statement Part A -- NGC NQMC[1].DOC	07/02/2009
Terms of Clearance	TERMS OF CLEARANCE.doc	07/02/2009

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