Information Collection

The AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) Qualitative Evaluation

IC 251001 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⚠️ Notice: This information collection may be referencing outdated material.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 Appendix A: Interview Protocol The AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) Qualitative Evaluation	Form and Instruction
1 Appendix A: Interview Protocol ISCR Qual Eval Appendix A 12-16-21_ 1.3.2022_sjh dtg.docx	Form and Instruction
ISCR - OMB Clearance Fast Track_1-7-21c clean no comm.docx Supporting Statement	IC Document
OMB Cover Letter.docx Cover Letter	IC Document

IC Title:

The AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) Qualitative Evaluation

Agency IC Tracking Number:

IC Status: New

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				No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement		01/10/2022
Cover Letter		01/03/2022

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

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