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Information Collection

Stakeholder Interviews for Task 4 of AHRQ's ACTION III Diagnostic Safety Capacity Building Contract

IC 241698 under ICR 202501-0935-001 · OMB 0935-0179.

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

View Information Collection (IC)

Stakeholder Interviews for Task 4 of AHRQ's ACTION III Diagnostic Safety Capacity Building Contract
 
Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Appendix A Appendix A.docx No   Paper Only
Form and Instruction 2 Appendix B Appendix B.docx No   Paper Only
Form and Instruction 3 Appendix C Appendix C.docx No   Paper Only
Form and Instruction 4 Appendix D Appendix D.docx No   Paper Only
Form and Instruction 5 Appendix E Appendix E.docx No   Paper Only
Form and Instruction 6 Appendix F Appendix F.docx No   Paper Only
Form and Instruction 7 Appendix Appendix G.docx No   Paper Only

Health Health Care Services

 

680 0
   
Individuals or Households
 
   0 %

  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 -680 0 0 680
Annual IC Time Burden (Hours) 0 0 -565 0 0 565
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Fast Track Template_4.21.20_final draft v3.docx 05/05/2020
Detailed Supporting Statement Supporting Statement Detailed.docx 05/05/2020
Cover Letter OMB Cover Letter (4).docx 05/05/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.