Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites

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⚠️ Notice: This information collection may be referencing outdated material.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 Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites Form and Instruction
1 Attachment A—AHRQ National Healthcare Quality and Dispar Appendix C. AHRQ QDR NQS Data and Product Summary.docx Form and Instruction
Appendix B. AHRQ QDR NQS Customer Satisfaction Interview Communications_122216_clean.docx Attachment B – AHRQ QDR NQS Customer Satisfaction Interview Communications IC Document
Appendix C. AHRQ QDR NQS Data and Product Summary.docx Attachment C – AHRQ QDR NQS Data and Product Summary IC Document
AHRQ QDR NQS Customer Satisfaction Analysis OMB Short Form Submission_122216_clean.docx Supporting Statement IC Document
OMB Cover Letter.doc Cover Letter IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites	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	Attachment A—AHRQ National Healthcare Quality and Disparities Reports (QDR) and National Quality Strategy (NQS) Customer Satisfaction Interview Guide	Appendix C. AHRQ QDR NQS Data and Product Summary.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment B – AHRQ QDR NQS Customer Satisfaction Interview Communications	Appendix B. AHRQ QDR NQS Customer Satisfaction Interview Communications_122216_clean.docx	01/13/2017
Attachment C – AHRQ QDR NQS Data and Product Summary	Appendix C. AHRQ QDR NQS Data and Product Summary.docx	01/13/2017
Supporting Statement	AHRQ QDR NQS Customer Satisfaction Analysis OMB Short Form Submission_122216_clean.docx	01/13/2017
Cover Letter	OMB Cover Letter.doc	01/13/2017

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