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
Administration of "Use of Agency for Healthcare Research and Quality (AHRQ) Tools to Measure Aspects of Patient Safety" Questionnaire to AHRQ SOPS® Listserv Subscribers Unchanged 1000 133 0 Form and Instruction 1
Other-Instrument
Agency for Healthcare Research and Quality (AHRQ) COVID-19 Primary Care Learning Community Participant Survey Unchanged 285 24 0 Form and Instruction 1
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey Unchanged 300 50 0 Form and Instruction 1
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey Unchanged 300 50 0 Form and Instruction 1
Building Diagnostic Safety Capacity - Diagnostic Calibration Resource Evaluation Plan Unchanged 80 50 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Form and Instruction 1a
Form and Instruction 3a
Form and Instruction 4a
Building Diagnostic Safety Capacity - Diagnostic Safety Measurement Resource Evaluation Plan Unchanged 160 155 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 3
Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation Unchanged 641 389 0 Form and Instruction 1
Form 2
Form and Instruction 3
Form and Instruction 4
Form and Instruction 5
Form and Instruction 6
Form and Instruction 7
Form and Instruction 8
Form and Instruction 9
Form and Instruction 10
Form and Instruction 11
Form and Instruction 12
Card Sort A: Online Data Collection for AHRQ.gov Unchanged 100 25 0 Form and Instruction 1
Card Sort B: Online Data Collection for AHRQ.gov Unchanged 100 25 0 Form and Instruction 1
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
ECHO National Nursing Home COVID-19 Action Network Customer Satisfaction Survey Unchanged 4571 505 0 Form and Instruction 1
ED PQI Feedback Survey New 50 17 0 Form and Instruction 1
End user Survey to support redesign of the National Center for Excellence in Primary Care Research website Unchanged 30 45 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Focus Groups on TeamSTEPPS® for Long-Term Care Curriculum Unchanged 72 108 0 Form and Instruction 2
Other-screener
Other-Feedback
Health Information Technology Professional Interview Guide Unchanged 18 9 0 Form and Instruction 1
Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews Unchanged 40 60 0 Form and Instruction 1
Form and Instruction 2
Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance Unchanged 50 50 0 Form and Instruction 1
Information Gathering and Usability Testing to Harmonize AHRQ Data Tools Unchanged 50 50 0 Form and Instruction 1
MONAHRQ Program Evaluation End User Focus Groups Protocol Unchanged 64 96 0 Instruction
Form and Instruction 2
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 20 20 0 Form and Instruction 1
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 20 20 0 Form and Instruction 1
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 20 20 0 Form and Instruction 1
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 20 20 0 Form and Instruction 1
Patient Interview Guide Unchanged 18 9 0 Form and Instruction 1
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 40 10 0 Form and Instruction 1
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Unchanged 40 10 0 Form and Instruction 1
Provider Interview Guide Unchanged 18 9 0 Form and Instruction 1
QI Program User Survey Unchanged 400 67 0 Form 1
Readiness for Change Assessment Unchanged 18 9 0 Form and Instruction 1
Request for Opioid Project Information from Patient Safety Organizations (PSOs) Unchanged 40 7 0 Form and Instruction 1
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program Unchanged 400 100 0 Form and Instruction 1
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program Unchanged 400 100 0 Form and Instruction 1
Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520) Unchanged 15 10 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Form and Instruction 5
Stakeholder Interviews for Task 4 of AHRQ's ACTION III Diagnostic Safety Capacity Building Contract Unchanged 680 565 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Form and Instruction 5
Form and Instruction 6
Form and Instruction 7
System Usability Scale (SUS) Unchanged 180 14 0 Form and Instruction 1
TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS Unchanged 240 12 0 Form and Instruction 1
Form and Instruction 2
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 Unchanged 120 6 0 Form and Instruction 1
Form and Instruction 2
The AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) Qualitative Evaluation Unchanged 54 54 0 Form and Instruction 1
Voluntary Customer Satisfaction Survey of AHRQ PSNet Users Unchanged 225 35 0 Form and Instruction 1
Form and Instruction 2
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 11719 3178 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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