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

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement Part B.docx Supporting Statement B
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Attachment B -- Examples.doc Supplementary Document
Supporting Statment Part A.docx Supporting Statement A

All Historical Document Collections

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