Stakeholder Information Needs and Satisfaction with National Quality Strategy Outreach Activities

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⚠️ Notice: This information collection may be referencing outdated material.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 1 Stakeholder Information Needs and Satisfaction with National Quality Strategy Outreach Activities Form and Instruction
1 National Quality Strategy Stakeholder Survey of Awarenes Attachment--National Quality Strategy Stakeholder Survey FINAL.docx Form and Instruction
OMB Cover Letter.doc OMB Cover Letter IC Document
NQS Stakeholder Final.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Stakeholder Information Needs and Satisfaction with National Quality Strategy Outreach Activities	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 and Instruction	1	National Quality Strategy Stakeholder Survey of Awareness,	Attachment--National Quality Strategy Stakeholder Survey FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Cover Letter	OMB Cover Letter.doc	08/20/2014
Supporting Statement	NQS Stakeholder Final.docx	08/20/2014

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