Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AHRQ.gov Taxonomy Tree Test Unchanged 800 200 0 Form and Instruction 1 AHRQ.gov Taxonomy Tree Test
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey New 300 50 0 Form and Instruction 1 2018 AHRQ QI SURVEY
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey New 300 50 0 Form and Instruction 1 Web-based Survey
Card Sort A: Online Data Collection for AHRQ.gov New 100 25 0 Form and Instruction 1 Card Sort A: Online Data Collection for AHRQ.gov
Card Sort B: Online Data Collection for AHRQ.gov New 100 25 0 Form and Instruction 1 Card Sort B: Online Data Collection for AHRQ.gov
Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites Unchanged 40 40 0 Form and Instruction 1 Attachment A—AHRQ National Healthcare Quality and Disparities Reports (QDR) and National Quality Strategy (NQS) Customer Satisfaction Interview Guide
End user Survey to support redesign of the National Center for Excellence in Primary Care Research website New 30 45 0 Form and Instruction 1 End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders
Form and Instruction 2 End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders
Form and Instruction 3 End user Survey to support redesign of the NCEPCR website: Primary Care Researchers
Form and Instruction 4 Post Website Evaluation
Focus Groups on TeamSTEPPS® for Long-Term Care Curriculum Unchanged 72 108 0 Form and Instruction 2 2. Appendix B – Moderator Guide
Other-screener
Other-Feedback
Health Information Technology Professional Interview Guide New 18 9 0 Form and Instruction 1 Health Information Technology Professional Interview Guide
Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews New 40 60 0 Form and Instruction 1 HSPCR Interview Guide: Other Stakeholders in HSR and PCR
Form and Instruction 2 HSPCR Interview Guide: Researchers in HSR and PCR
Information Gathering and Usability Testing to Harmonize AHRQ Data Tools New 50 50 0 Form and Instruction 1 INTERVIEW DISCUSSION GUIDES
MONAHRQ Program Evaluation End User Focus Groups Protocol Unchanged 64 96 0 Instruction
Form and Instruction 2 MONAHRQ Professional End Users Focus Group protocol
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division New 20 20 0 Form and Instruction 1 Nominator Customer Satisfaction Survey
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 20 20 0 Form and Instruction 1 Nominator Customer Satisfaction Survey
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division New 20 20 0 Form and Instruction 1 Nominator/Partner Survey
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division New 20 20 0 Form and Instruction 1 Nominator/Partner Survey
Patient Interview Guide New 18 9 0 Form and Instruction 1 Patient Interview Guide
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division New 40 10 0 Form and Instruction 1 Patient Key Informants
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 40 10 0 Form and Instruction 1 Questions for Patient Key Informants
Provider Interview Guide New 18 9 0 Form and Instruction 1 Provider Interview Guide
Readiness for Change Assessment New 18 9 0 Form and Instruction 1 Readiness for Change Assessment
Request for Opioid Project Information from Patient Safety Organizations (PSOs) New 40 7 0 Form and Instruction 1 Request for Opioid Project Information
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program New 400 100 0 Form and Instruction 1 Stakeholders
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program Unchanged 400 100 0 Form and Instruction 1 Questions for Stakeholders
Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520) New 15 10 0 Form and Instruction 1 Category 1
Form and Instruction 2 Category 2
Form and Instruction 3 Category 3
Form and Instruction 4 Category 4
Form and Instruction 5 Category 5
Stakeholder Interviews for Task 4 of AHRQ's ACTION III Diagnostic Safety Capacity Building Contract New 680 565 0 Form and Instruction 1 Appendix A
Form and Instruction 2 Appendix B
Form and Instruction 3 Appendix C
Form and Instruction 4 Appendix D
Form and Instruction 5 Appendix E
Form and Instruction 6 Appendix F
Form and Instruction 7 Appendix
System Usability Scale (SUS) New 180 14 0 Form and Instruction 1 System Usability Scale (SUS)
Technical Assistance (TA) User Feedback for Program and User Support and Quality Measure Tool Development for Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Surveys on Patient Sa New 120 6 0 Form and Instruction 1 Questions for Users of SOPS Technical Assistance
Form and Instruction 2 Questions for Users of CAHPS Technical Assistance
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 3963 1687 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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