Information Collection Request

AHRQ Addressing Unhealthy Alcohol Use in Primary Care Initiative

ICR 202006-0935-002 · OMB 0935-0254 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Attachment B: Key Informant Interview Guides - Grantees Form and Instruction New Available
2020-12804.pdf Supplementary Document Uploaded 2020-10-21 Available
RFA-HS-18-002_ Screening and Management of Unhealthy Alcohol Use in Primary Care_ Dissemination and Implementation of PCOR Evidence (R18).html Supplementary Document Uploaded 2020-06-15 Available
Unhealthy Alcohol Use_OMB-SSB_5.28.20_final.docx Supporting Statement B Uploaded 2020-06-12 Available
Unhealthy Alcohol Use_OMB-SSA_5.28.20_final.docx Supporting Statement A Uploaded 2020-06-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242223 Attachment B: Key Informant Interview Guides - Grantees Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2023 36 Months From Approved
60 0 0
60 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Attachment B: Key Informant Interview Guides - Grantees 1, 2 Attachment B: Key Informant Interview Guides - Grantees ,   Attachment C: Key Informant Interview Guides - Practices

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 60 0 0 60 0 0
Annual Time Burden (Hours) 60 0 0 60 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No