Customer Satisfaction with the AHRQ Quality Indicators (QI) and QI Software, Documentation and User Support

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

OMB: 0935-0179

IC ID: 203598

Information Collection (IC) Details

View Information Collection (IC)

Customer Satisfaction with the AHRQ Quality Indicators (QI) and QI Software, Documentation and User Support
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form #1 AHRQ QI Software and Documentation Questionnaire Attachment A -- AHRQ QI Software and Documentation Questionnaire.docx Yes Yes Fillable Fileable
Form Form #2 Adoption and Use of AHRQ QI Questionnaire Attachment B -- Adoption and Use of AHRQ QI Questionnaire.docx Yes Yes Fillable Fileable

Health Immunization Management

 

1,718 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,718 0 0 0 0 0
Annual IC Time Burden (Hours) 143 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Submission Form -- Customer Satisfaction with the AHRQ Quality Indicators OMB Submission Form -- Customer Satisfaction with the AHRQ Quality Indicators.docx 08/06/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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