Information Collection Request

Evaluation of ARRA Comparative Effectiveness Research Dissemination Contractor Efforts

ICR 201112-0935-001 · OMB 0935-0191 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form #11 Focus Group Moderator Guide for Policymakers Form and Instruction New Available
Form #10 Focus Group Moderator Guide for Purchasers Form and Instruction New Available
Form #9 Focus Group Moderator Guide for Decision Makers Form and Instruction New Available
Form Form #8 Consumer or Patient Focus Group Guide -- Unaware of CER Form and Instruction New Available
Form Form #7 Consumer or Patient Focus Group Guide -- Aware without use Form and Instruction New Available
Form Form #6 Consumer or Patient Focus Group Guide -- Aware with use Form and Instruction New Available
Form Form #5 Consumer or Patient Focus Group Screener Questionnaire Form and Instruction New Available
Form Form #4 Clinician Focus Group Guide Form and Instruction New Available
Form Form #3 Consumer or Patient Questionnaire Form and Instruction New Available
Form Form #2 Consumer or Patient Screener Questionnaire Form and Instruction New Available
Form Form #1 Clinician Questionnaire Form and Instruction New Available
Supporting Statement Part B -- Eval of ARRA CER Dissemination Efforts 3-15-2012.doc Supporting Statement B Uploaded 2012-03-19 Available
Attachment Q -- Federal Register Notice.pdf Supplementary Document Uploaded 2011-12-01 Available
Attachment P -- Semi-structured Interview Respondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment P -- Semi-structured Interview Respondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment P -- Semi-structured Interview Respondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment L -- Consumer or Patient Focus Group Respondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment G -- Clinician Focus Group Respondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment E -- Consumer or Patient Repondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment E -- Consumer or Patient Repondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Attachment B -- Clinician Survey Respondent Materials.doc Supplementary Document Uploaded 2011-11-30 Available
Supporting Statement Part A -- Eval of ARRA CER Dissemination Efforts 3-15-2012.doc Supporting Statement A Uploaded 2012-03-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
200342 Semi-structured Interviews with Policymakers Form and Instruction NewFocus Group Moderator Guide for Policymakers
200341 Semi-structured Interviews with Purchasers Form and Instruction NewFocus Group Moderator Guide for Purchasers
200340 Semi-structured Interviews with Health System Decision Makers Form and Instruction NewFocus Group Moderator Guide for Decision Makers
200339 Consumer/Patient Focus Groups Form and Instruction NewConsumer or Patient Focus Group Guide -- Unaware of CER
200339 Consumer/Patient Focus Groups Form and Instruction NewConsumer or Patient Focus Group Guide -- Aware without use
200339 Consumer/Patient Focus Groups Form and Instruction NewConsumer or Patient Focus Group Guide -- Aware with use
200338 Consumer/Patient Focus Groups Screener Form and Instruction NewConsumer or Patient Focus Group Screener Questionnaire
200337 Clinician Focus Groups Form and Instruction NewClinician Focus Group Guide
200336 Consumer/Patient Survey Form and Instruction NewConsumer or Patient Questionnaire
200335 Consumer/Patient Screener Form and Instruction NewConsumer or Patient Screener Questionnaire
200334 Clinician Survey Form and Instruction NewClinician Questionnaire

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved
8,760 0 0
2,450 0 0
0 0 0





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
Clinician Focus Groups Form #4
Clinician Survey Form #1
Consumer/Patient Focus Groups Form #6, Form #7, Form #8 ,   ,  
Consumer/Patient Focus Groups Screener Form #5
Consumer/Patient Screener Form #2
Consumer/Patient Survey Form #3
Semi-structured Interviews with Health System Decision Makers #9
Semi-structured Interviews with Policymakers #11
Semi-structured Interviews with Purchasers #10

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,760 0 0 8,760 0 0
Annual Time Burden (Hours) 2,450 0 0 2,450 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No