Information Collection

Stakeholder Information Needs and Satisfaction with National Quality Strategy Outreach Activities

IC 212741 under ICR 201104-0935-006 · OMB 0935-0179.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.