AHRQ QI Data Collection Tool

Development and Evaluation of AHRQs Quality Indicators Improvement Toolkit

OMB: 0935-0164

IC ID: 192333

Documents and Forms
Information Collection (IC) Details

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AHRQ QI Data Collection Tool
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #4 AHRQ QI Data Collection Tool Attachment G -- AHRQ QI data collection tool.doc Yes Yes Paper Only

Health Consumer Health and Safety

 

6 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 144 0 144 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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