Customer Satisfaction with AHRQ's Research Activities Newsletter

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Document Name Document Type
Form Form #1 Customer Satisfaction with AHRQ's Research Activities Newsletter Form
Form #1 Research Activities Newsletter Questionnaire Attachment A -- Research Activities Newsletter Questionnaire.docx Form
Research Activities Newsletter Feedback OMB Submission Form 10-21-2011.docx Research Activities Newsletter Feedback OMB Submission Form 10-21-2011 IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction with AHRQ's Research Activities Newsletter	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form #1	Research Activities Newsletter Questionnaire	Attachment A -- Research Activities Newsletter Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	3,000	0	0	0	0	0
Annual IC Time Burden (Hours)	50	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Research Activities Newsletter Feedback OMB Submission Form 10-21-2011	Research Activities Newsletter Feedback OMB Submission Form 10-21-2011.docx	10/21/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.