Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AHRQ Articles of Interest (AI) Survey New 4000 67 0 Form and Instruction 1 Agency for Health Research and Quality (AHRQ) Articles of Interest (AI) Survey
AHRQ Publicity Center Patient-Centered Outcomes Research Awareness Campaign Concept Testing New 392 135 0 Form and Instruction Form #1 Screening Questionnaire
Form and Instruction Form #2 Focus Group Moderator Guide
Customer Satisfaction with AHRQ's Health IT Literacy Guide New 126 106 0 Form and Instruction Form #2 Screening Instrument for Focus Groups
Form and Instruction Form #1 Focus Group Moderator Guide
Customer Satisfaction with AHRQ's Patient-Centered Outcomes Research (PCOR) Educational Materials New 1440 237 0 Form Form #3 Pre-Focus Group Questionnaire - Group1
Form Form #1 Web-based Survey
Form Form #2 Screening Questionnaire
Form Form #4 Pre-Focus Group Questionnaire - Group2
Form Form #5 Focus Group Moderator Guide - Group1
Form Form #6 Focus Group Moderator Guide - Group2
Customer Satisfaction with AHRQ's Quality Measurement Initiatives New 100 25 0 Form and Instruction Form #1 MONAHRQ Host User Group Questionnaire
Form and Instruction Form #2 HCUP Partners Software Redesign Questionnaire
Customer Satisfaction with AHRQ's Research Activities Newsletter New 3000 50 0 Form Form #1 Research Activities Newsletter Questionnaire
Customer Satisfaction with HIE Evaluation Toolkit New 120 34 0 Form and Instruction Form #1 Screening Questionnaire
Form and Instruction Form #4 In-depth Interview Guide
Form and Instruction Form #2 Monthly E-mail Check-in Text
Form and Instruction Form #3 Monthly Check-in Phone Follow-up
Customer Satisfaction with the 2012 Guide to Clinical Preventive Services New 5000 167 0 Form Form #1 Guide to Clinical Preventive Services Feedback Questionnaire
Customer Satisfaction with the AHRQ Quality Indicators (QI) and QI Software, Documentation and User Support New 1718 143 0 Form Form #1 AHRQ QI Software and Documentation Questionnaire
Form Form #2 Adoption and Use of AHRQ QI Questionnaire
Customer Satisfaction with the AHRQ Videonovela Aprende a vivir. New 210 35 0 Form and Instruction Form #1 Attachment A -- Patient Questionnaire - Spanish Version
Form and Instruction Form #2 Attachment C - Health Care Professional Questionnaire
Future of MONAHRQ® Survey 2014: Current and Potential Host Users New 2205 551 0 Form and Instruction 1 Attachment A – Approach Document—Future of MONAHRQ® Survey 2014
Stakeholder Information Needs and Satisfaction with National Quality Strategy Outreach Activities New 600 100 0 Form and Instruction 1 National Quality Strategy Stakeholder Survey of Awareness,
Voluntary Customer Satisfaction Survey of AHRQ PSNet Users New 1000 167 0 Form and Instruction 1 Customer Satisfaction Survey of AHRQ PSNet Users
Voluntary Customer Satisfaction Survey of AHRQ PSNet and AHRQ WebM&M Users New 1000 167 0 Form and Instruction 1 AHRQ Patient Safety Network (PSNet)/WebM&M User Satisfaction Survey
Voluntary Customer Satisfaction Survey of AHRQ WebM&M Users New 1000 167 0 Form and Instruction 1 AHRQ WebM&M Customer Satisfaction Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 21911 2151 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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