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 Interview Guide Form and Instruction New Available
Form Form #3 Implementation Grant Questionnaire Form and Instruction New Available
Form Form #2 Planning Grant Questionnaire Form and Instruction New Available
Form Form #1 Value Grant Questionnaire 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 NewIn-Depth Interview Guide
196399 Implementation Grant Survey Form and Instruction NewImplementation Grant Questionnaire
196398 Planning Grant Survey Form and Instruction NewPlanning Grant Questionnaire
196397 Value Grant Survey Form and Instruction NewValue Grant Questionnaire

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
Implementation Grant Survey Form #3
In-Depth Interviews Form #4
Planning Grant Survey Form #2
Value Grant Survey Form #1

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