Card Sort A: Online Data Collection for AHRQ.gov

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⚠️ Notice: This information collection may be referencing outdated material.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 Card Sort A: Online Data Collection for AHRQ.gov Form and Instruction
1 Card Sort A: Online Data Collection for AHRQ.gov 2020_03_AHRQCardSort_Outline_A_04132020_RLM (002).docx Form and Instruction
OMB Cover Letter - A.docx Cover Memo IC Document
OMB Generic Clearance Submission - AHRQDotGov Card Sort_A - 04132020 RLM.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Card Sort A: Online Data Collection for AHRQ.gov	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Card Sort A: Online Data Collection for AHRQ.gov	2020_03_AHRQCardSort_Outline_A_04132020_RLM (002).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Memo	OMB Cover Letter - A.docx	05/01/2020
Supporting Statement	OMB Generic Clearance Submission - AHRQDotGov Card Sort_A - 04132020 RLM.docx	05/01/2020

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