Information Collection

Card Sort A: Online Data Collection for AHRQ.gov

IC 241677 under ICR 202501-0935-001 · OMB 0935-0179.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Card Sort A: Online Data Collection for AHRQ.gov	Form and Instruction
Form 1 Card Sort A: Online Data Collection for AHRQ.gov Card Sort A: Online Data Collection for AHRQ.gov	Form and Instruction
1 Card Sort A: Online Data Collection for AHRQ.gov 2020_03_AHRQCardSort_Outline_A_04132020_RLM (002).docx	Form and Instruction
1 Card Sort A: Online Data Collection for AHRQ.gov 2020_03_AHRQCardSort_Outline_A_04132020_RLM (002).docx	Form and Instruction
OMB Cover Letter - A.docx Cover Memo	IC Document
OMB Cover Letter - A.docx Cover Memo	IC Document
OMB Generic Clearance Submission - AHRQDotGov Card Sort_A - 04132020 RLM.docx Supporting Statement	IC Document
OMB Generic Clearance Submission - AHRQDotGov Card Sort_A - 04132020 RLM.docx Supporting Statement	IC Document

IC Title:

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
Form and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

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	-100	100
Annual IC Time Burden (Hours)	-25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Memo		05/01/2020
Supporting Statement		05/01/2020

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

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