Information Gathering and Usability Testing to Harmonize AHRQ Data Tools

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

Documents and Forms

Document Name Document Type
Form 1 Information Gathering and Usability Testing to Harmonize AHRQ Data Tools Form and Instruction
1 INTERVIEW DISCUSSION GUIDES Tool discussion guide.docx Form and Instruction
1 INTERVIEW DISCUSSION GUIDES Tool discussion guide.docx Form and Instruction
Supporting Statement.docx Supporting Statement IC Document
Supporting Statement.docx Supporting Statement IC Document
Cover Letter.doc Cover Letter IC Document
Cover Letter.doc Cover Letter IC Document

Information Collection (IC) Details

IC Title:	Information Gathering and Usability Testing to Harmonize AHRQ Data Tools	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	INTERVIEW DISCUSSION GUIDES	Tool discussion guide.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	Supporting Statement.docx	11/28/2018
Cover Letter	Cover Letter.doc	11/28/2018

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