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AHRQ Online Continuing Education Participant Evaluation
Comparative Effectiveness Research - Continuing Education
OMB: 0935-0181
IC ID: 197988
OMB.report
HHS/AHRQ
OMB 0935-0181
ICR 201106-0935-001
IC 197988
( )
Documents and Forms
Document Name
Document Type
Form Form #2
AHRQ Online Continuing Education Participant Evaluation
Form and Instruction
Form #2 AHRQ Online Continuing Education Participant Evalua
Attachment C -- AHRQ Online Continuing Education Participant Evaluation 7-25-2011.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
AHRQ Online Continuing Education Participant Evaluation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form #2
AHRQ Online Continuing Education Participant Evalua
Attachment C -- AHRQ Online Continuing Education Participant Evaluation 7-25-2011.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
58,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
175,500
0
175,500
0
0
0
Annual IC Time Burden (Hours)
8,775
0
8,775
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.