Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (HITRC)

ICR 202101-0955-001 · OMB 0955-0003 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0955-003 ONC Interoperability Forum Sessions Evaluation Form and Instruction Unchanged Repair queued
Form 0955-003 ONC Interoperability Overall Forum Evaluation Form and Instruction Unchanged Repair queued
0955-0003 Justification final submitted.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-02-22 Repair queued
30-dayFederal Register, Volume 82 Issue 243 (Wednesday, December 20, 2017).htm Supplementary Document Uploaded 2017-12-20 Repair queued
Generic_Clearance_Submission_Template.doc Supplementary Document Uploaded 2011-09-30 Repair queued
0955-0003 section B 2014.docx Supporting Statement B Uploaded 2014-10-29 Repair queued
0990-0003 HITRC_Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - Part A.2017v2.docx Supporting Statement A Uploaded 2017-12-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
237317 ONC Interoperability Forum Sessions Evaluation Form and Instruction Unchanged
237316 ONC Interoperability Overall Forum Evaluation Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
06/30/2021 06/30/2021
17,847 4,158
1,610 1,041
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
ONC Interoperability Forum Sessions Evaluation 0955-003 ONC Interoperability Forum Sessions Evaluation
ONC Interoperability Overall Forum Evaluation 0955-003 ONC Interoperability Forum Overall Evaluation

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17,847 4,158 0 13,689 0 0
Annual Time Burden (Hours) 1,610 1,041 0 569 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No