Information Collection Request

Synthesis Reports for Grants and Cooperative Agreements for Transforming Healthcare Quality through Information Technology (THQIT)

ICR 201102-0935-003 · OMB 0935-0175 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form #4 In-Depth Interviews Form and Instruction New Available
Form Form #3 Implementation Grant Survey Form and Instruction New Available
Form Form #2 Planning Grant Survey Form and Instruction New Available
Form Form #1 Value Grant Survey Form and Instruction New Available
Supporting Statement Part B -- Synthesis Reports for THQIT 10-12-10.docx Supporting Statement B Uploaded 2011-01-26 Available
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document Uploaded 2011-01-26 Available
Attachment H -- Federal Register Notice.pdf Supplementary Document Uploaded 2011-01-26 Available
Attachment F -- Communication with Grantees.docx Supplementary Document Uploaded 2011-01-26 Available
Attachment G -- Research Topics and Sources.docx Supplementary Document Uploaded 2011-01-26 Available
Supporting Statement Part A -- Synthesis Reports for THQIT 10-12-10.docx Supporting Statement A Uploaded 2011-02-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196400 In-Depth Interviews Form and Instruction New
196399 Implementation Grant Survey Form and Instruction New
196398 Planning Grant Survey Form and Instruction New
196397 Value Grant Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2012 12 Months From Approved
178 0 0
181 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Value Grant Survey Form #1 Value Grant Questionnaire
Planning Grant Survey Form #2 Planning Grant Questionnaire
Implementation Grant Survey Form #3 Implementation Grant Questionnaire
In-Depth Interviews Form #4 In-Depth Interview Guide

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 178 0 0 178 0 0
Annual Time Burden (Hours) 181 0 0 181 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No