Information Collection

Work Flow Mapping Follow-Up Interview Guide

IC 226745 under ICR 201704-0935-002 · OMB 0935-0237.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 Work Flow Mapping Follow-Up Interview Guide	Form and Instruction
5 Attachment K: Work Flow Mapping Follow-Up Interview Guid Attachment K Work Flow Mapping Follow-Up Interview Guide JSI_AHRQ.11.2016.fine.ver.3..docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5	Attachment K: Work Flow Mapping Follow-Up Interview Guide	Attachment K Work Flow Mapping Follow-Up Interview Guide JSI_AHRQ.11.2016.fine.ver.3..docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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