Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
A Survey of Physicians in Solo and Smaller Primary Care Practices New 355 90 0 Form Form #1 Cognitive testing questionnaire
Form Form #2 Pilot survey questionnaire
Form Form #3 Follow-up interview guide
AHRQ Publicity Center Patient-Centered Outcomes Research Awareness Campaign Health Care Provider Concept Testing New 410 162 0 Form and Instruction Form #1 Screening Questionnaire
Form and Instruction Form #2 Focus Group Moderator Guide
Cognitive Testing of the MEPS Cancer SAQ New 160 88 0 Form and Instruction Form #2 Cognitive Interview Guide
Form and Instruction Form #1 Screener Questionnaire
Pilot Test of an Interview Protocol Designed to Evaluate Emergency Preparedness and Response Capabilities New 60 60 0 Form and Instruction Form #1 Emergency Preparedness and Response Capabilities Interview Protocol
Pretest of Proposed CAHPS for Cancer Care Questions and Methodology New 1800 600 0 Form and Instruction Form #1 CAHPS Cancer Care Questionnaires
Pretest of the Medical Expenditure Panel Survey New 1500 250 0 Form Form #1 Quick Response Survey Questionnaire
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 4285 1250 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title