AHRQ Healthcare Innovations Exchange Innovator Interview and AHRQ Healthcare Innovations Exchange Innovator Email Submission Guidelines

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4 Innovator review and approval of written profile	Form and Instruction	New	Available
Form Form #3 Annual follow-up reviews	Form and Instruction	Modified	Available
Form Form #2 Health care innovator interview	Form and Instruction	Modified	Available
Form Form #1 Email submission	Form and Instruction	Modified	Available
Attachment G -- Expert Consultation 11.14.13.doc	Supplementary Document	Uploaded 2014-06-27	Available
Attachment F -- 30 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2014-06-27	Available
Attachment E -- Web Sites that Offer Health Care Quality Improvement and Innovation Information 11.14.13.doc	Supplementary Document	Uploaded 2014-06-27	Available
Attachment A -- Healthcare Research and Quality Act 1999.doc	Supplementary Document	Uploaded 2014-06-27	Available
Supporting Statement Part A -- AHRQ Health Care Innovations Exchange 6-27-2014.docx	Supporting Statement A	Uploaded 2014-06-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212146	Innovator review and approval of written profile	Form and Instruction	New
196422	Annual follow-up reviews	Form and Instruction	Modified
196421	Health care innovator interview	Form and Instruction	Modified
187243	Email submission	Form and Instruction	Modified

ICR Details

OMB Control No: 0935-0147	ICR Reference No: 201406-0935-002
Status: Historical Active	Previous ICR Reference No: 201102-0935-004
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: AHRQ Healthcare Innovations Exchange Innovator Interview and AHRQ Healthcare Innovations Exchange Innovator Email Submission Guidelines
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/05/2014
	Date Received in OIRA: 07/03/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	36 Months From Approved
Responses	967	0	0
Time Burden (Hours)	347	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Innovations Exchange will provide a national-level information hub to foster the implementation and adaptation of innovative strategies that improve health care quality and minimize disparities in the care received by different populations. It is intended to address stakeholder interest in a "one-stop shop" that presents digested and reliable information about health care delivery innovations along with their accompanying implementation tools and networking opportunities to share implementation strategies and techniques. Its target audiences, broadly defined, will be current and potential change agents in the U.S. health care system, including clinicians (e.g., physicians, nurses, and other providers), health system administrators, health plan managers, health service purchasers, regulators, and policymakers from relevant Federal and state agencies.

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Authorizing Statute(s): US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 60	03/28/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 116	06/17/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Email submission	Form #1	Email Submission Guidelines
Health care innovator interview	Form #2	Health Care Innovator Interview Guide
Annual follow-up reviews	Form #3	Annual Follow-up Emails
Innovator review and approval of written profile	4	Innovator review and approval of written profile

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ICR Summary of Burden

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	967	0	0	58	0	909
Annual Time Burden (Hours)	347	0	0	-234	0	581
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The need for the number of respondents decreased.

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Annual Cost to Federal Government: $104,910

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/03/2014

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