National Guideline Clearinghouse - National Quality Measures Clearinghouse

Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0106 can be found here:

Documents and Forms

Document Name Document Type
Form 1 National Guideline Clearinghouse - National Quality Measures Clearinghouse Form and Instruction
1 Attachment C. Expert Commentary Response Form Attachment C. Expert Commentary Response Form.docx Form and Instruction
Attachment B. Sample Expert Commentary.docx Attachment B -- Sample Expert Commentary IC Document
Supporting Statement Part A -- NGC NQMC_07-31-2014.doc SUPPORTING STATEMENT IC Document
Attachment A -- Healthcare Research and Quality Act 1999.doc Attachment A: AHRQ's Authorizing Legislation IC Document

Information Collection (IC) Details

IC Title:	National Guideline Clearinghouse - National Quality Measures Clearinghouse	Agency IC Tracking Number:

IC Status: Unchanged

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	Attachment C. Expert Commentary Response Form	Attachment C. Expert Commentary Response Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment B -- Sample Expert Commentary	Attachment B. Sample Expert Commentary.docx	11/24/2014
SUPPORTING STATEMENT	Supporting Statement Part A -- NGC NQMC_07-31-2014.doc	11/24/2014
Attachment A: AHRQ's Authorizing Legislation	Attachment A -- Healthcare Research and Quality Act 1999.doc	11/24/2014

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