Eisenberg Center Voluntary Customer Survey Generic Clearance for the AHRQ

Forms and Documents

Document Name	Status
Supporting Statement Part B -- Eisenberg Generic Clearance 2-15-2011 Revised.doc Supporting Statement B	2011-02-15
Attachment K -- 30 Day FR Notice.pdf Supplementary Document	2010-08-30
Attachment J -- Sample CME Followup Questionnaire.doc Supplementary Document	2010-08-30
Attachment I -- Glossary feedback questionnaire.doc Supplementary Document	2010-08-30
Attachment H -- Osteoporosis decision aid feedback questionnaire.doc Supplementary Document	2010-08-30
Attachment G -- Screen shots of the osteoporosis decision aid.doc Supplementary Document	2010-08-30
Attachment F -- Oral meds for Type 2 diabetes clinician guide _ feedback survey for policymakers _ administrators.doc Supplementary Document	2010-08-30
Attachment E -- Oral meds for Type 2 diabetes clinician guide _ feedback survey for health care providers.doc Supplementary Document	2010-08-30
Attachment C -- Oral meds for Type 2 diabetes consumer guide _ feedback survey for people with type 2 diabetes.doc Supplementary Document	2010-08-30
Attachment B -- Research process for product development and assessment.doc Supplementary Document	2010-08-30
Attachment D -- Oral meds for Type 2 diabetes consumer guide _ feedback survey for health care providers.doc Supplementary Document	2010-08-30
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document	2010-08-30
Supporting Statement Part A -- Eisenberg Generic Clearance 2-15-2011 Revised.doc Supporting Statement A	2011-02-15

IC Document Collections

IC ID	Document Title	Status

ICR Details

OMB Control No: 0935-0128	ICR Reference No: 201009-0935-001
Status: Historical Active	Previous ICR Reference No: 200702-0935-002
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Eisenberg Center Voluntary Customer Survey Generic Clearance for the AHRQ
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/27/2011
	Date Received in OIRA: 09/20/2010
Terms of Clearance: This generic ICR is approved consistent with AHRQ agreement to submit individual information collections to OMB as they are implemented, along with all necessary supporting statements. AHRQ is aware that some collections included in the scope of this Generic ICR might eventually fit under either the Qualitative or Quantitative Feedback on Agency Service Delivery Generic ICRs that are being implemented. However, for program management reasons, AHRQ has chosen to keep this package bundled. AHRQ may later submit an individual IC under the other Service Delivery Generics to the extent that the IC is within the parameters and scope described in supporting statements for those Generics.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved
Responses	19,612	0	0
Time Burden (Hours)	6,202	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: AHRQ is the lead agency charged with supporting research designed to improve the quality of healthcare, reduce its cost, improve patient safety, decrease medical errors, and broaden access to essential services (see 42 U.S.C. 299). AHRQ's Eisenberg Center is an innovative effort aimed at improving communication of findings to a variety of audiences ("customers"), including consumers, clinicians, and health care policy makers. The Eisenberg Center compiles research results into a variety of useful formats for customer stakeholders. The Eisenberg Center also conducts its own program of research into effective communication of research findings in order to improve the usability and rapid incorporation of findings into medical practice. The Eisenberg Center is one of three components of AHRQ's Effective Health Care Program (see 42 U.S.C. 299b-7). For the period 2005 until September 2008, the Eisenberg Center was operated through a contractual arrangement with the Oregon Health and Science University (OHSU), Department of Medicine, located in Portland, Oregon. In September 2008, the contract for operation of the Eisenberg Center was awarded to Baylor College of Medicine (BCM), located in Houston Texas.

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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:
	75 FR 28255	05/20/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 52347	08/25/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary 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	19,612	0	0	19,612	0	0
Annual Time Burden (Hours)	6,202	0	0	6,202	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: The burden hours have been increased because the previous amount was inadequate.

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Annual Cost to Federal Government: $1,439,003

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 09/20/2010

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