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OMB Control No: 0935-0106	ICR Reference No: 200712-0935-001
Status: Historical Active	Previous ICR Reference No: 200702-0935-001
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/03/2008
	Date Received in OIRA: 12/14/2007
Terms of Clearance: Approved consistent with previous terms of clearance, which state:(1) AHRQ must seek and receive OMB approval for each individual survey prior to using the survey in the field. (2) AHRQ will provide a discussion of any proposed incentives and Privacy Act Requirements in each submission under this generic (3) AHRQ will provide the total approved burden, the requested burden, and the total burden currently in use under the generic clearance with each submission. OMB will review requests under this clearance within 10 days of submission and will either approve requested collections or provide questions and comments. Key in OMB's review of the individual items under this generic clearance will be the appropriateness of the instument and methodology for its intended purpose and consistency with the intent of this generic clearance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	36 Months From Approved	04/30/2008
Responses	103,600	0	103,400
Time Burden (Hours)	22,118	0	16,356
Cost Burden (Dollars)	0	0	0

Abstract: Surveys will assess strengths and weaknesses of agency program services including querying individuals using AHRQ paper and electronic products to determine satisfaction with form and content or to assess effects of streamlining efforts.

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Generic Customer Satisfaction Surveys

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 43273	08/03/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 65031	11/19/2007
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Guideline Clearinghouse(TM) (NGC) National Quality Measures Clearinghouse(TM) (NQMC)	Form #2, Form #1	,
PSO Privacy Protection Center Help Desk Survey 0935-0106	Form #1

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	103,600	103,400	200
Annual Time Burden (Hours)	22,118	16,356	5,762
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in the number of respondents and burden hours is based on a review of data collections conducted under this generic clearance.

Annual Cost to Federal Government: $720,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Doris Lefkowitz 3014271477

View Generic ICR - OIRA Conclusion