Voluntary Customer Satisfaction Survey of AHRQ PSNet and AHRQ WebM&M Users

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

OMB: 0935-0179

IC ID: 211832

Information Collection (IC) Details

View Information Collection (IC)

Voluntary Customer Satisfaction Survey of AHRQ PSNet and AHRQ WebM&M Users
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 AHRQ Patient Safety Network (PSNet)/WebM&M User Satisfaction Survey 2014-CSS-Combined Survey (PSNet).docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 0
   
Individuals or Households
 
   100 %

  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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 167 0 167 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter OMB Cover Letter.doc 06/10/2014
Clearance Form Clearance Form.docx 06/10/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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