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OMB Control No: 0935-0106	ICR Reference No: 201104-0935-001
Status: Historical Active	Previous ICR Reference No: 200712-0935-001
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: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/20/2011
	Date Received in OIRA: 04/08/2011
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	07/31/2014	36 Months From Approved	07/31/2011
Responses	10,900	0	103,600
Time Burden (Hours)	3,383	0	22,118
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
US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999

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:
	76 FR 4354	01/25/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 17864	03/31/2011
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	10,900	103,600	-92,700
Annual Time Burden (Hours)	3,383	22,118	-18,735
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of responses and burden hours have been reduced based on past usage of the clearance and projected future use.

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Doris Lefkowitz 3014271477

View Generic ICR - OIRA Conclusion