Information Collection

Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520)

IC 229442 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⚠️ Notice: This information collection may be referencing outdated material.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 Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520)	Form and Instruction
1 Category 1 Category 1 Key Informant Interview Guide_SPPC-AHRQedited-clean-11.20.docx	Form and Instruction
2 Category 2 Category 2 Key Informant Interview Guide- AHRQrev 12.12.docx	Form and Instruction
3 Category 3 Category 3 Key Informant Interview Guide_AHRQrev-12.12.docx	Form and Instruction
4 Category 4 Category 4 Key Informant Interview Guide_AHRQrev 12.12.docx	Form and Instruction
5 Category 5 Category 5 Key Informant Interview Guide.docx	Form and Instruction
SPPC-II-OMB Cover Letter.doc Cover Letter	IC Document
SPPC-II-Attachment B -- Submission Form-v2.docx Supporting Statement	IC Document

IC Title:

Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520)

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	Available Electronically?	Electronic Capability
Form and Instruction	1	Category 1	Category 1 Key Informant Interview Guide_SPPC-AHRQedited-clean-11.20.docx	No	Paper Only
Form and Instruction	2	Category 2	Category 2 Key Informant Interview Guide- AHRQrev 12.12.docx	No	Paper Only
Form and Instruction	3	Category 3	Category 3 Key Informant Interview Guide_AHRQrev-12.12.docx	No	Paper Only
Form and Instruction	4	Category 4	Category 4 Key Informant Interview Guide_AHRQrev 12.12.docx	No	Paper Only
Form and Instruction	5	Category 5	Category 5 Key Informant Interview Guide.docx	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter	SPPC-II-OMB Cover Letter.doc	12/13/2017
Supporting Statement	SPPC-II-Attachment B -- Submission Form-v2.docx	12/13/2017

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