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

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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

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:

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 %

	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

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.