Information Collection Request

Assessing Organizational Responses to AHRQ's Health Literacy Pharmacy Tools

ICR 200904-0935-002 · OMB 0935-0152 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form #4 Web site visitors survey Form and Instruction New Available
Form Form #3 Pharmacy staff survey Form and Instruction New Available
Form Form #2 Staff interview - non-implementing sites Form and Instruction New Available
Form Form #1 Staff interview - implementing sites Form and Instruction New Available
Attachment E -- Web Site Visitors Survey_REVISED July2009_with Track Changes.doc Supplementary Document Uploaded 2009-08-06 Available
Attachment C -- Staff Interview Protocols -- Non-implementing Sites _REVISED July 2009_with Track Changes.doc Supplementary Document Uploaded 2009-08-06 Available
Supporting statement Part B -- Pharmacy Health Literacy 080509.doc Supporting Statement B Uploaded 2009-08-06 Available
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document Uploaded 2009-04-10 Available
Supporting statement Part A -- Pharmacy Health Literacy 080509.doc Supporting Statement A Uploaded 2009-08-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
188839 Web site visitors survey Form and Instruction New
188838 Pharmacy staff survey Form and Instruction New
188837 Staff interview - non-implementing sites Form and Instruction New
188836 Staff interview - implementing sites Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2012 36 Months From Approved
273 0 0
130 0 0
0 0 0





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 273 0 0 273 0 0
Annual Time Burden (Hours) 130 0 0 130 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No