The AHRQ Data Inventory

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 1 Inventory Survey	Form and Instruction	New	Available
AHRQ memo 5-8-09.doc	Supplementary Document	Uploaded 2009-05-14	Available
intro letter data inventory.doc	Supplementary Document	Uploaded 2009-05-14	Available
Supporting Statement Part B -- The AHRQ Data Inventory 10-2-08.doc	Supporting Statement B	Uploaded 2009-01-02	Available
Attachment D -- E-mail Reminder.doc	Supplementary Document	Uploaded 2009-01-02	Available
Supporting Statement Part A -- The AHRQ Data Inventory 5-7-09.doc	Supporting Statement A	Uploaded 2009-05-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187920	Inventory Survey	Form and Instruction	New

ICR Details

OMB Control No: 0935-0149	ICR Reference No: 200901-0935-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: The AHRQ Data Inventory
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/29/2009
	Date Received in OIRA: 01/30/2009
Terms of Clearance: This ICR is approved consistent with AHRQ memo of 5-8-09, revised supporting statement, and revised instrument. AHRQ agrees to ensure that the instrument is revised consistent with AHRQ memo of 5-8-09 prior to fielding the survey (i.e. the agreed-upon questions will be added, assurances of confidentiality will be stricken, and certain questions will be reworded for clarity).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	12 Months From Approved
Responses	80	0	0
Time Burden (Hours)	60	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: AHRQ carries out a variety of data collection and other activities to accomplish its mission of scientific research. In this project, AHRQ is particularly interested in determining the availability of regularly collected administrative and other data collection initiatives about outpatient health service utilization. AHRQ's initial focus is on those data sets that would inform healthcare providers, policymakers, and consumers about outpatient health service utilization and episodes of care. This project focuses on an in-depth scan of existing state data collection initiatives to identify similarities across data projects and areas for collaboration and coordination across initiatives, evaluate the value and utility of data collection projects, and suggest possible strategies to improve synergy across projects in order to better inform health policymakers, clinicians and consumers.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 63476	10/24/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 80410	12/31/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Inventory Survey	Form 1	AHRQ Inventory Survey

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ICR Summary of Burden

table that charts list of burden

	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	80	0	0	80	0	0
Annual Time Burden (Hours)	60	0	0	60	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $136,500

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/30/2009

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