Information Collection

FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS

IC 189844 under ICR 200905-1090-001 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FSR 263 FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS	Form
FSR 263 Social Media questionnaire FSR 263 Social Media Q variations.doc	Form
FSR 264 HHS AHRQ CAHPS questionnaire FSR 264 HHS AHRQ CAHPS.xls	Form
Justification for ICs to generic ICR 1090-0008.doc Justification for ICs to generic ICR 1090-0008	IC Document

IC Title:

FSR 263 Social Media, FSR 264 HHS AHRQ CAHPS

Agency IC Tracking Number:

FSR 263, FSR 264

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	FSR 263	Social Media questionnaire	FSR 263 Social Media Q variations.doc		Yes	Yes	Fillable Fileable
Form	FSR 264	HHS AHRQ CAHPS questionnaire	FSR 264 HHS AHRQ CAHPS.xls		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	520,000	520,000
Annual IC Time Burden (Hours)	21,667	21,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for ICs to generic ICR 1090-0008	Justification for ICs to generic ICR 1090-0008.doc	07/09/2009

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