PRA ICR Documents
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
SS Part A - 0935-0179 - Generic Clearance of Qualitative Feedback - final Oct 2026v3.docx
10/26/2026
Supporting Statement B
Document
Date Uploaded
Supporting Statement Part B -- Generic Clearance.docx
10/04/2023
Supplementary Documents
Title
Document
Document Type
Date Uploaded
Attachment A -- Healthcare Research and Quality Act of 1999
Attachment A -- Healthcare Research and Quality Act of 1999.pdf
Supplementary Document
04/26/2011
Generic Short Form Template
Generic 0935-Short-Form Template MS revised to include cost estimatev2-OMB.docx
Supplementary Document
10/23/2026
Attachment C- 60 day FRN
60 day FRN notice and correction about due date.pdf
Supplementary Document
10/23/2026
Attachment D – Data collections currently approved under 0935-0179
revised data collections 0935-0179 October, 2026v2.docx
Supplementary Document
10/26/2026
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.