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Federal forms, ICRs, and supporting documents

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MONAHRQ Program Evaluation End User Focus Groups Protocol

IC 215883 under ICR 202501-0935-001 · OMB 0935-0179.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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MONAHRQ Program Evaluation End User Focus Groups Protocol
 
Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction OMB - Consumer End Users FG protocol draft.docx Yes Yes Fillable Fileable
Form and Instruction 2 MONAHRQ Professional End Users Focus Group protocol OMB - Professional End Users FG protocol draft.docx Yes Yes Fillable Fileable

Health Health Care Services

 

64 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -64 0 0 64
Annual IC Time Burden (Hours) 0 0 -96 0 0 96
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter OMB Cover Letter.doc 03/27/2015
Supporting Statement Part A OMB - expedited Submission Form_MONAHRQ program evaluation_revised 03-26-15.docx 03/27/2015
Supporting Statement Part B OMB - Part B ICR supporting statement MONAHRQ 1 14 15.docx 03/27/2015
• MONAHRQ Consumer End Users Focus Group protocol OMB - Consumer End Users FG protocol draft.docx 03/27/2015
• MONAHRQ Professional End Users Focus Group protocol OMB - Professional End Users FG protocol draft.docx 03/27/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.