Information Collection Request

Eisenberg Center Voluntary Customer Survey Generic Clearance for the AHRQ

ICR 201009-0935-001 · OMB 0935-0128 · Historical Active

Forms and Documents

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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2014 36 Months From Approved
19,612 0 0
6,202 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 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


Reginfo record details
  No