Information Collection Request

Eisenberg Center Voluntary Customer Survey Generic Clearance for the AHRQ

ICR 201608-0935-001 · OMB 0935-0128 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
60 Day FRN.pdf Supplementary Document Uploaded 2016-08-24 Available
OMB L_Outcomes Survey_CME Activities_REV 2016 02 24_2016 08 22.docx Supplementary Document Uploaded 2016-08-24 Available
OMB K_Online Surveys_Summary Product_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-24 Available
OMB J_Online Survey Form B_Decision Aid_REV 2016 02 24.pdf Supplementary Document Uploaded 2016-08-24 Available
OMB I_Online Survey Form A_Decision Aid_REV 2016 02 24.pdf Supplementary Document Uploaded 2016-08-23 Available
OMB H_Pretesting Interview Script_Decision Aid_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB G_Cognitive Interview Script_Decision Aid_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB F_Pretesting_Policymaker Script_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB E_Topic Development_Policymaker Script_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB D_Pretesting_Consumer Script_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB C_Topic Development_Consumer Script_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB B_Pretesting_Clinician Script_REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
OMB A_Topic Development_Clinician Script__REV 2016 02 24.docx Supplementary Document Uploaded 2016-08-23 Available
EC OMB Clearance - Supporting Statement Part B EB_REV 08122016.docx Supporting Statement B Uploaded 2016-08-23 Available
EC OMB Clearance - Supporting Statement Part A_REV 08112016 EB.docx Supporting Statement A Uploaded 2016-08-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0








Reginfo record details
  No