AHRQ Healthcare Innovations Exchange Innovator Interview and AHRQ Healthcare Innovations Exchange Innovator Email Submission Guidelines

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form #3 Annual Follow-up Emails	Form and Instruction	New	Available
Form Form #2 Health Care Innovator Interview Guide	Form and Instruction	New	Available
Form Form #4 Annual follow-up interview	Form and Instruction	Removed	Available
Form Form #3 Innovator Interview Guide	Form and Instruction	Removed	Available
Form Form #2 Innovator Interview Guide for Email Submissions	Form and Instruction	Removed	Available
Form Form #1 Email Submission Guidelines	Form and Instruction	Modified	Available
Attachment G -- Expert Consultation 0818_10.doc	Supplementary Document	Uploaded 2011-01-25	Available
Attachment F -- Federal Register Notice.pdf	Supplementary Document	Uploaded 2011-01-25	Available
Attachment E -- Websites that Offer Healthcare Quality Improvement and Innovation Information 0818_10.doc	Supplementary Document	Uploaded 2011-01-25	Available
Attachment A -- Healthcare Research and Quality Act of 1999.pdf	Supplementary Document	Uploaded 2011-01-25	Available
Supporting Statement Part A -- AHRQ Healthcare Innovations Exchange 5-23-2011.docx	Supporting Statement A	Uploaded 2011-05-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196422	Annual follow-up reviews	Form and Instruction	New	Annual Follow-up Emails
196421	Health care innovator interview	Form and Instruction	New	Health Care Innovator Interview Guide
187246	Annual follow-up interview	Form and Instruction	Removed	Annual follow-up interview
187245	Health care innovator interview - without email submission	Form and Instruction	Removed	Innovator Interview Guide
187244	Health care innovator interview -following email submission	Form and Instruction	Removed	Innovator Interview Guide for Email Submissions
187243	Email submission	Form and Instruction	Modified	Email Submission Guidelines

ICR Details

OMB Control No: 0935-0147	ICR Reference No: 201102-0935-004
Status: Historical Active	Previous ICR Reference No: 200811-0935-001
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: AHRQ Healthcare Innovations Exchange Innovator Interview and AHRQ Healthcare Innovations Exchange Innovator Email Submission Guidelines
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	05/31/2011
Responses	909	0	566
Time Burden (Hours)	581	0	401
Cost Burden (Dollars)	0	0	0

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Abstract: The Innovations Exchange will provide a national-level information hub to foster the implementation and adaptation of innovative strategies that improve health care quality and minimize disparities in the care received by different populations. It is intended to address stakeholder interest in a "one-stop shop" that presents digested and reliable information about health care delivery innovations along with their accompanying implementation tools and networking opportunities to share implementation strategies and techniques. Its target audiences, broadly defined, will be current and potential change agents in the U.S. health care system, including clinicians (e.g., physicians, nurses, and other providers), health system administrators, health plan managers, health service purchasers, regulators, and policymakers from relevant Federal and state agencies.

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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 67368	11/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 4356	01/25/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Annual follow-up interview	Form #4	Annual follow-up interview
Annual follow-up reviews	Form #3	Annual Follow-up Emails
Email submission	Form #1	Email Submission Guidelines
Health care innovator interview	Form #2	Health Care Innovator Interview Guide
Health care innovator interview - without email submission	Form #3	Innovator Interview Guide
Health care innovator interview -following email submission	Form #2	Innovator Interview Guide for Email Submissions

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ICR Summary of Burden

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	909	566	0	343	0	0
Annual Time Burden (Hours)	581	401	0	180	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a net increase of 180 hours in the hour burden for this request from the previous burden of 401 hours. This is mainly due to two factors: (1) Based on experience, the estimated hourly burden for innovators to participate in the interview and review the draft profile is approximately 75 minutes rather than 30 minutes as initially estimated; and (2) The number of existing profiles currently in the collection has increased (575 profiles) and will require an annual review over the next three years.

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Annual Cost to Federal Government: $197,642

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 02/25/2011

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