OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

End user Survey to support redesign of the National Center for Excellence in Primary Care Research website

IC 240821 under ICR 202009-0935-002 · OMB 0935-0179.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders End user Survey to support redesign of the National Center for Excellence in Primary Care Research website		 Form and Instruction
Form 2
End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders End user Survey to support redesign of the National Center for Excellence in Primary Care Research website		 Form and Instruction
Form 3
End user Survey to support redesign of the NCEPCR website: Primary Care Researchers End user Survey to support redesign of the National Center for Excellence in Primary Care Research website		 Form and Instruction
Form 4
Post Website Evaluation End user Survey to support redesign of the National Center for Excellence in Primary Care Research website		 Form and Instruction
1 End user Survey to support redesign of the NCEPCR websit
Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx 		Form and Instruction
2 End user Survey to support redesign of the NCEPCR websit
Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx 		Form and Instruction
3 End user Survey to support redesign of the NCEPCR websit
Webdesign survey for NCEPCR website development Researchers v3.19.20.docx 		Form and Instruction
4 Post Website Evaluation
Webdesign survey for NCEPCR post-website evaluation_v3.19.20.docx 		Form and Instruction
Cover Letter.docx
Cover Letter		IC Document
Generic Clearance Submission Website formative Interviews.docx
Supporting Statement		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx No   Paper Only
Form and Instruction 2 End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx No   Paper Only
Form and Instruction 3 End user Survey to support redesign of the NCEPCR website: Primary Care Researchers Webdesign survey for NCEPCR website development Researchers v3.19.20.docx No   Paper Only
Form and Instruction 4 Post Website Evaluation Webdesign survey for NCEPCR post-website evaluation_v3.19.20.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30 0 0 0 0 30
Annual IC Time Burden (Hours) 45 0 0 0 0 45
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Cover Letter Cover Letter.docx 03/23/2020
Supporting Statement Generic Clearance Submission Website formative Interviews.docx 03/23/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.