Information Collection

Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites

IC 225165 under ICR 202501-0935-001 · OMB 0935-0179.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites	Form and Instruction
Form 1 Attachment A—AHRQ National Healthcare Quality and Disparities Reports (QDR) and National Quality Strategy (NQS) Customer Satisfaction Interview Guide Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites	Form and Instruction
1 Attachment A—AHRQ National Healthcare Quality and Dispar Appendix C. AHRQ QDR NQS Data and Product Summary.docx	Form and Instruction
1 Attachment A—AHRQ National Healthcare Quality and Dispar Appendix C. AHRQ QDR NQS Data and Product Summary.docx	Form and Instruction
Appendix B. AHRQ QDR NQS Customer Satisfaction Interview Communications_122216_clean.docx Attachment B – AHRQ QDR NQS Customer Satisfaction Interview Communications	IC Document
Appendix B. AHRQ QDR NQS Customer Satisfaction Interview Communications_122216_clean.docx Attachment B – AHRQ QDR NQS Customer Satisfaction Interview Communications	IC Document
Appendix C. AHRQ QDR NQS Data and Product Summary.docx Attachment C – AHRQ QDR NQS Data and Product Summary	IC Document
Appendix C. AHRQ QDR NQS Data and Product Summary.docx Attachment C – AHRQ QDR NQS Data and Product Summary	IC Document
AHRQ QDR NQS Customer Satisfaction Analysis OMB Short Form Submission_122216_clean.docx Supporting Statement	IC Document
AHRQ QDR NQS Customer Satisfaction Analysis OMB Short Form Submission_122216_clean.docx Supporting Statement	IC Document
OMB Cover Letter.doc Cover Letter	IC Document
OMB Cover Letter.doc Cover Letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites

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				No		Paper Only

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: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B â AHRQ QDR NQS Customer Satisfaction Interview Communications		01/13/2017
Attachment C â AHRQ QDR NQS Data and Product Summary		01/13/2017
Supporting Statement		01/13/2017
Cover Letter		01/13/2017

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

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