Information Collection Request

Evaluation of the AHRQ Healthcare Horizon Scanning System

ICR 201412-0935-001 · OMB 0935-0229 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4 Key Informant Interview Protocols Form and Instruction New Available
Form 3 Stakeholder Survey Form and Instruction New Available
Form 2 Expert Consultation Protocol Form and Instruction New Available
Form 1 Expert Survey Form and Instruction New Available
Attachment A Healthcare Research and Quality Act of 1999 .pdf Supplementary Document Uploaded 2014-12-05 Available
Supporting Statement Template Part B_AHRQ Healthcare Horizon Scanning System_5-30-2014.doc Supporting Statement B Uploaded 2014-12-05 Available
Supporting Statement Part A_Version3_AHRQ.doc Supporting Statement A Uploaded 2015-02-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214178 Key Informant Interview Protocols Form and Instruction New
214177 Stakeholder Survey Form and Instruction New
214176 Expert Consultation Protocol Form and Instruction New
214175 Expert Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2016 18 Months From Approved
411 0 0
200 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Stakeholder Survey 3 Stakeholder Survey
Key Informant Interview Protocols 4 Key Informant Interview Protocols
Expert Survey 1 Expert Survey
Expert Consultation Protocol 2 Expert Consultation Protocol

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 411 0 0 411 0 0
Annual Time Burden (Hours) 200 0 0 200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No