OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality

OMB 0935-0106 · HHS/AHRQ.

OMB 0935-0106

Surveys will assess strengths and weaknesses of agency program services including querying individuals using AHRQ paper and electronic products to determine satisfaction with form and content or to assess effects of streamlining efforts.

The latest form for Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality expires 2023-11-30 and is listed under ICR 202009-0935-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Supporting Statement Part B.docxSupporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Attachment B -- Examples.doc Supplementary Document
Supporting Statment Part A.docxSupporting Statement A

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202009-0935-004 Revision of a currently approved collection 2020-09-22 Approved without change
201709-0935-003 Extension without change of a currently approved collection 2017-09-26 Approved without change
201409-0935-003 Reinstatement without change of a previously approved collection 2014-09-09 Approved with change
201104-0935-001 Extension without change of a currently approved collection 2011-04-08 Approved without change
200712-0935-001 Revision of a currently approved collection 2007-12-14 Approved without change
200702-0935-001 No material or nonsubstantive change to a currently approved collection 2007-02-01 Approved without change
200607-0935-001 No material or nonsubstantive change to a currently approved collection 2006-07-11 Approved without change
200603-0935-001 No material or nonsubstantive change to a currently approved collection 2006-03-26 Approved without change
200409-0935-002 Revision of a currently approved collection 2004-09-30 Approved with change
200202-0935-001 No material or nonsubstantive change to a currently approved collection 2002-02-01 Approved without change
200107-0935-001 Revision of a currently approved collection 2001-07-31 Approved without change
199810-0935-001 New collection (Request for a new OMB Control Number) 1998-10-09 Approved without change