Information Collection

MONAHRQ Program Evaluation End User Focus Groups Protocol

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 MONAHRQ Professional End Users Focus Group protocol MONAHRQ Program Evaluation End User Focus Groups Protocol	Form and Instruction
OMB - Consumer End Users FG protocol draft.docx	Instruction
OMB - Consumer End Users FG protocol draft.docx	Instruction
2 MONAHRQ Professional End Users Focus Group protocol OMB - Professional End Users FG protocol draft.docx	Form and Instruction
2 MONAHRQ Professional End Users Focus Group protocol OMB - Professional End Users FG protocol draft.docx	Form and Instruction
OMB Cover Letter.doc Cover Letter	IC Document
OMB Cover Letter.doc Cover Letter	IC Document
OMB - expedited Submission Form_MONAHRQ program evaluation_revised 03-26-15.docx Supporting Statement Part A	IC Document
OMB - expedited Submission Form_MONAHRQ program evaluation_revised 03-26-15.docx Supporting Statement Part A	IC Document
OMB - Part B ICR supporting statement MONAHRQ 1 14 15.docx Supporting Statement Part B	IC Document
OMB - Part B ICR supporting statement MONAHRQ 1 14 15.docx Supporting Statement Part B	IC Document
OMB - Consumer End Users FG protocol draft.docx • MONAHRQ Consumer End Users Focus Group protocol	IC Document
OMB - Consumer End Users FG protocol draft.docx • MONAHRQ Consumer End Users Focus Group protocol	IC Document
OMB - Professional End Users FG protocol draft.docx • MONAHRQ Professional End Users Focus Group protocol	IC Document
OMB - Professional End Users FG protocol draft.docx • MONAHRQ Professional End Users Focus Group protocol	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

MONAHRQ Program Evaluation End User Focus Groups Protocol

Agency IC Tracking Number:

IC Status: Removed

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
Instruction					Yes	Yes	Fillable Fileable
Form and Instruction	2				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 64

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-64	64
Annual IC Time Burden (Hours)	-96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter		03/27/2015
Supporting Statement Part A		03/27/2015
Supporting Statement Part B		03/27/2015
â¢ MONAHRQ Consumer End Users Focus Group protocol		03/27/2015
â¢ MONAHRQ Professional End Users Focus Group protocol		03/27/2015

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

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