Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Feasibility Study for a MEPS Monthly Check-In New 195 90 0 Form and Instruction 1B
Form and Instruction 1C
Form and Instruction 1F
Form and Instruction 1G
Form and Instruction 1H
Form and Instruction 1I
Form and Instruction 2B
Form and Instruction 2E
Instruction
Instruction
Field Test of A Survey of End-of-Life Care New 510 97 0 Form and Instruction 1
MEPS Alternative Sampling Design Pilot Test New 3393 567 0 Form and Instruction 1
Patient and Caregiver Survey New 90 90 0 Form and Instruction 1
Patient and Caregiver Usability Interview New 10 10 0 Form and Instruction 1
Pilot Test of the Proposed Workplace Safety Supplemental Item Set For the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey New 4309 1432 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction Attachment F
Pilot Test of the Revised Data Collection Method for the Medical Expenditure Panel Survey - Insurance Component New 3000 1180 0 Form and Instruction 1
Form and Instruction 2
Provider Focus Group New 20 30 0 Form and Instruction 1
Provider and Patient Interview New 13 13 0 Form and Instruction 1
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 11540 3509 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title