Information Collection

Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance

IC 244395 under ICR 202310-0935-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance	Form and Instruction
1 AHRQ Data Tools Interview Guide AHRQDA~1.DOC.docx	Form and Instruction
1 AHRQ Data Tools Interview Guide AHRQDA~1.DOC.docx	Form and Instruction
Cover Page 2.docx Cover Letter	IC Document
Cover Page 2.docx Cover Letter	IC Document
OMB Supporting Statement-AHRQ-20200814-v2.docx Supporting Statement	IC Document
OMB Supporting Statement-AHRQ-20200814-v2.docx Supporting Statement	IC Document

IC Title:

Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance

Agency IC Tracking Number:

IC Status: Unchanged

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	AHRQ Data Tools Interview Guide	AHRQDA~1.DOC.docx		Yes	Yes	Fillable Fileable

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: 100 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter	Cover Page 2.docx	11/04/2020
Supporting Statement	OMB Supporting Statement-AHRQ-20200814-v2.docx	11/04/2020

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