Information Collection Request

Synthesis of AHRQ-Funded HAI Projects

ICR 201206-0935-002 · OMB 0935-0200 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form #2 Interviews with grantees Form and Instruction New Available
Form Form #1 Interviews with contractors Form and Instruction New Available
Supporting Statement B -- Synthesis of AHRQ-Funded HAI Projects.doc Supporting Statement B Uploaded 2012-06-22 Available
Attachment G_Thank_You_Letter.doc Supplementary Document Uploaded 2012-06-22 Available
Attachment F_Informed_Consent.doc Supplementary Document Uploaded 2012-06-22 Available
Attachment E_Confirmation_Letter.doc Supplementary Document Uploaded 2012-06-22 Available
Attachment D_AHRQ_Letter.doc Supplementary Document Uploaded 2012-06-22 Available
Attachment C_Recruitment_Email.doc Supplementary Document Uploaded 2012-06-22 Available
Attachment H -- Federal Register Notice.pdf Supplementary Document Uploaded 2012-06-22 Available
Supporting Statement A Synthesis of AHRQ-Funded HAI Projects.docx Supporting Statement A Uploaded 2012-09-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
202858 Interviews with grantees Form and Instruction New
202857 Interviews with contractors Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved
58 0 0
87 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Interviews with contractors Form #1 Interview Guide for Contractors
Interviews with grantees Form #2 Interview Guide for Grantees

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 58 0 0 58 0 0
Annual Time Burden (Hours) 87 0 0 87 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No