Information Collection

Evaluation of the Effectiveness of the Agency for Healthcare Research and Quality's (AHRQ) Grant-Supported Research on Healthcare Costs, Productivity, and Market Forces

IC 184260 under ICR 200803-0935-002 · OMB 0935-0138.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 1 Evaluation of the Effectiveness of the Agency for Healthcare Research and Quality's (AHRQ) Grant-Supported Research on Healthcare Costs, Productivity, and Market Forces	Form and Instruction
Form 1 Questionnaire Intro Email and Reminder#1.doc	Form and Instruction
Attachment B -- Federal Register Notice.pdf Attachment B -- Federal Register Notice	IC Document
Attachment C -- Advance Letter.doc Attachment C -- Advance Letter	IC Document
Attachment A -- AHRQ Legislation.pdf Attachment A -- AHRQ Legislation	IC Document
Attachment D -- Email Invitation with web-link.doc Attachment D -- Email Invitation with web-link	IC Document
AHRQ reminder thank you FINAL.doc Reminder Thank you	IC Document
Intro Email and Reminder#1.doc Intro Email	IC Document
reminder%20text%202%20and%203%20FINAL[1].doc Reminder	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Evaluation of the Effectiveness of the Agency for Healthcare Research and Quality's (AHRQ) Grant-Supported Research on Healthcare Costs, Productivity, and Market Forces

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 1	Questionnaire	Intro Email and Reminder#1.doc		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: 149

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	149	149
Annual IC Time Burden (Hours)	298	298
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B -- Federal Register Notice	Attachment B -- Federal Register Notice.pdf	03/17/2008
Attachment C -- Advance Letter	Attachment C -- Advance Letter.doc	03/17/2008
Attachment A -- AHRQ Legislation	Attachment A -- AHRQ Legislation.pdf	03/17/2008
Attachment D -- Email Invitation with web-link	Attachment D -- Email Invitation with web-link.doc	03/17/2008
Reminder Thank you	AHRQ reminder thank you FINAL.doc	06/26/2008
Intro Email	Intro Email and Reminder#1.doc	06/26/2008
Reminder	reminder%20text%202%20and%203%20FINAL[1].doc	06/26/2008

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