Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AHRQ.gov Taxonomy Tree Test Removed 0 0 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 Removed 0 0 0 Form and Instruction 1
Other-Instrument
Agency for Healthcare Research and Quality (AHRQ) COVID-19 Primary Care Learning Community Participant Survey Removed 0 0 0 Form and Instruction 1
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey Modified 300 50 0 Form and Instruction 1
Form and Instruction 2
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 Removed 0 0 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 Removed 0 0 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 3
Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation Removed 0 0 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 Removed 0 0 0 Form and Instruction 1
Card Sort B: Online Data Collection for AHRQ.gov Removed 0 0 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 Removed 0 0 0 Form and Instruction 1
ED PQI Feedback Survey Unchanged 50 17 0 Form and Instruction 1
End user Survey to support redesign of the National Center for Excellence in Primary Care Research website Removed 0 0 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 Removed 0 0 0 Form and Instruction 2
Other-screener
Other-Feedback
Health Information Technology Professional Interview Guide Removed 0 0 0 Form and Instruction 1
Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews Removed 0 0 0 Form and Instruction 1
Form and Instruction 2
Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance Removed 0 0 0 Form and Instruction 1
Information Gathering and Usability Testing to Harmonize AHRQ Data Tools Removed 0 0 0 Form and Instruction 1
MONAHRQ Program Evaluation End User Focus Groups Protocol Removed 0 0 0 Instruction
Form and Instruction 2
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Removed 0 0 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 Removed 0 0 0 Form and Instruction 1
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Removed 0 0 0 Form and Instruction 1
Patient Interview Guide Removed 0 0 0 Form and Instruction 1
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Removed 0 0 0 Form and Instruction 1
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division Removed 0 0 0 Form and Instruction 1
Provider Interview Guide Removed 0 0 0 Form and Instruction 1
QI Program User Survey Unchanged 400 67 0 Form 1
Readiness for Change Assessment Removed 0 0 0 Form and Instruction 1
Request for Opioid Project Information from Patient Safety Organizations (PSOs) Removed 0 0 0 Form and Instruction 1
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program Removed 0 0 0 Form and Instruction 1
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program Removed 0 0 0 Form and Instruction 1
Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520) Removed 0 0 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 Removed 0 0 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) Removed 0 0 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 Removed 0 0 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: 1695 297 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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