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Card Sort A: Online Data Collection for AHRQ.gov
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0935-0179
IC ID: 241677
OMB.report
HHS/AHRQ
OMB 0935-0179
ICR 202009-0935-002
IC 241677
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:
2023-10-05 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Card Sort A: Online Data Collection for AHRQ.gov
Form and Instruction
1 Card Sort A: Online Data Collection for AHRQ.gov
2020_03_AHRQCardSort_Outline_A_04132020_RLM (002).docx
Form and Instruction
OMB Cover Letter - A.docx
Cover Memo
IC Document
OMB Generic Clearance Submission - AHRQDotGov Card Sort_A - 04132020 RLM.docx
Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Card Sort A: Online Data Collection for AHRQ.gov
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Card Sort A: Online Data Collection for AHRQ.gov
2020_03_AHRQCardSort_Outline_A_04132020_RLM (002).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Cover Memo
OMB Cover Letter - A.docx
05/01/2020
Supporting Statement
OMB Generic Clearance Submission - AHRQDotGov Card Sort_A - 04132020 RLM.docx
05/01/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.