Information Collection

AHRQ.gov Taxonomy Tree Test

IC 214535 under ICR 202009-0935-002 · OMB 0935-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 AHRQ.gov Taxonomy Tree Test	Form and Instruction
1 AHRQ.gov Taxonomy Tree Test Appendix A -- Data collection instruments.docx	Form and Instruction
OMB Cover Letter.doc Cover Letter	IC Document
AHRQ.gov Taxonomy Tree Test OMB Submission.docx Supporting Statement	IC Document

IC Title:

AHRQ.gov Taxonomy Tree Test

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	AHRQ.gov Taxonomy Tree Test	Appendix A -- Data collection instruments.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter	OMB Cover Letter.doc	01/08/2015
Supporting Statement	AHRQ.gov Taxonomy Tree Test OMB Submission.docx	01/08/2015

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