Information Collection

End user Survey to support redesign of the National Center for Excellence in Primary Care Research website

IC 240821 under ICR 201709-0935-001 · OMB 0935-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 End user Survey to support redesign of the National Center for Excellence in Primary Care Research website	Form and Instruction
1 End user Survey to support redesign of the NCEPCR websit Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx	Form and Instruction
2 End user Survey to support redesign of the NCEPCR websit Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx	Form and Instruction
3 End user Survey to support redesign of the NCEPCR websit Webdesign survey for NCEPCR website development Researchers v3.19.20.docx	Form and Instruction
4 Post Website Evaluation Webdesign survey for NCEPCR post-website evaluation_v3.19.20.docx	Form and Instruction
Cover Letter.docx Cover Letter	IC Document
Generic Clearance Submission Website formative Interviews.docx Supporting Statement	IC Document

IC Title:

End user Survey to support redesign of the National Center for Excellence in Primary Care Research website

Agency IC Tracking Number:

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	Available Electronically?	Electronic Capability
Form and Instruction	1	End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders	Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx	No	Paper Only
Form and Instruction	2	End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders	Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx	No	Paper Only
Form and Instruction	3	End user Survey to support redesign of the NCEPCR website: Primary Care Researchers	Webdesign survey for NCEPCR website development Researchers v3.19.20.docx	No	Paper Only
Form and Instruction	4	Post Website Evaluation	Webdesign survey for NCEPCR post-website evaluation_v3.19.20.docx	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

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	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter	Cover Letter.docx	03/23/2020
Supporting Statement	Generic Clearance Submission Website formative Interviews.docx	03/23/2020

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