SUBMISSION OF INFORMATION COLLECTION UNDER THE
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
DATE OF REQUEST: October 18, 2018
SUB AGENCY (I/C): HHS/AHRQ
TITLE: Health Information Technology Professional Interview Guide
GENERIC CLEARANCE UNDER OMB#: 0935-0179 EXP. DATE: 11/30/2020
To understand IT staff’s
experience with the implementation, semi-structured interviews will
be conducted with one IT implementation staff at each of the 18
practice sites, focusing on satisfaction with the implementation
process, preferences, and barriers. Target
participants are the key assigned IT/IS point of contact at each
pilot testing site who work closely with the technical core to
ensure consistent technical setup, and seamless integration of data
at each site.
TOTAL ANNUAL BURDEN APPROVED: 3,383 Hours Per year
BURDEN USED TO DATE: 404 hours.
BURDEN THIS REQUEST: 9 hours.
FEDERAL COST: The estimated annual cost to the Federal government is $388.44_.
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ______ NO _____x_ N/A
OBLIGATION TO RESPOND:
___x___ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
____ WEB SITE
____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
__ _ IN PERSON INTERVIEW
___x_ OTHER: Interview_
CONTACT INFORMATION:
NAME: _Erwin Brown______________________________
TELEPHONE NUMBER: 301.427.1652________________
EMAIL ADDRESS: [email protected]________________
| File Type | application/msword |
| File Title | Generic Clearance Form - 04/28/2008 |
| Subject | Generic Clearance Form - 04/28/2008 |
| Author | OD/USER |
| Last Modified By | SYSTEM |
| File Modified | 2018-10-29 |
| File Created | 2018-10-29 |