Information Collection Request

Evaluating the Implementation of Products to Help Learning Health Systems Use Findings from AHRQ Evidence Reports

ICR 202004-0935-003 · OMB 0935-0251 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4 Implementation check-ins: Form and Instruction New Available
Form 4 Interview scheduling and other staff assistance Form and Instruction New Available
Form 4 Review of materials prior to interviews Form and Instruction New Available
Form 4 Review of materials prior to BOTH preliminary and follow-up interviews Form and Instruction New Available
Form 3 Attachment C -- Remote Follow-up Interview Guide for Clinical Staff Form and Instruction New Available
Form 2 Attachment B -- Remote Follow-up Interview Guide for LHS Leaders Form and Instruction New Available
Form 1 Attachment A -- In-person Preliminary Interview Guide for LHS Leaders Form and Instruction New Available
Supporting Statement Part A_ eb 04162020.docx Supporting Statement A Uploaded 2020-04-16 Available
Attachment E.docx Supplementary Document Uploaded 2020-04-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241356 Implementation check-ins: Form and Instruction New
241355 Interview scheduling and other staff assistance Form and Instruction New
241354 Review of materials prior to interviews Form and Instruction New
241352 Review of materials prior to BOTH preliminary and follow-up interviews Form and Instruction New
241351 Attachment C -- Remote Follow-up Interview Guide for Clinical Staff Form and Instruction New
241350 Attachment B -- Remote Follow-up Interview Guide for LHS Leaders Form and Instruction New
241348 Attachment A -- In-person Preliminary Interview Guide for LHS Leaders Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved
308 0 0
216 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 308 0 0 308 0 0
Annual Time Burden (Hours) 216 0 0 216 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No