Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 202009-0935-002

OMB: 0935-0179

Federal Form Document

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Supporting Statement A
2020-09-14
Supplementary Document
2011-06-28
Supporting Statement B
2020-09-14
Supplementary Document
2011-04-26
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ICR Details
0935-0179 202009-0935-002
Active 201709-0935-001
HHS/AHRQ
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Extension without change of a currently approved collection   No
Regular
Approved without change 11/02/2020
Retrieve Notice of Action (NOA) 09/21/2020
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved 11/30/2020
10,900 0 10,900
3,383 0 3,383
0 0 0

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
  
None

Not associated with rulemaking

  85 FR 35654 06/11/2020
85 FR 58061 09/17/2020
No

30
IC Title Form No. Form Name
Readiness for Change Assessment 1 Readiness for Change Assessment
Health Information Technology Professional Interview Guide 1 Health Information Technology Professional Interview Guide
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division 1 Nominator/Partner Survey
Stakeholder Interviews for Task 4 of AHRQ's ACTION III Diagnostic Safety Capacity Building Contract 1, 2, 3, 4, 5, 6, 7 Appendix A ,   Appendix B ,   Appendix C ,   Appendix D ,   Appendix E ,   Appendix F ,   Appendix
Customer Satisfaction Analysis for the AHRQ National Healthcare Quality and Disparities Report and National Quality Strategy Products and Websites 1 Attachment A—AHRQ National Healthcare Quality and Disparities Reports (QDR) and National Quality Strategy (NQS) Customer Satisfaction Interview Guide
Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520) 2, 5, 1, 3, 4 Category 1 ,   Category 2 ,   Category 3 ,   Category 4 ,   Category 5
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 2, 1 Questions for Users of SOPS Technical Assistance ,   Questions for Users of CAHPS Technical Assistance
System Usability Scale (SUS) 1 System Usability Scale (SUS)
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey 1 Web-based Survey
MONAHRQ Program Evaluation End User Focus Groups Protocol 2 MONAHRQ Professional End Users Focus Group protocol
Building Diagnostic Safety Capacity – TeamSTEPPS® Course Evaluation 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 Appendix D: Individual Respondent Characteristics (Admin) ,   Appendix E: Organizational Readiness for Implementation Change (ORIC) ,   Appendix F: Pilot Test Interview Protocol for Providers – TeamSTEPPS® ,   Appendix G: Pilot Test Interview Protocol for Providers – No TeamSTEPPS® ,   Appendix H: Pilot Test Evaluation Protocol for Staff – TeamSTEPPS® ,   Appendix I: Pilot Test Evaluation Protocol for Staff – No TeamSTEPPS® ,   Appendix J: Pilot Test Evaluation Protocol for Administrators – TeamSTEPPS® ,   Appendix K: Pilot Test Evaluation Protocol for Administrators – No TeamSTEPPS® ,   Appendix L: Training Observation Tool ,   Appendix B: Individual Respondent Characteristics (Providers) ,   Appendix C: Individual Respondent Characteristics (Staff) ,   Appendix A: Setting Demographics Survey
Provider Interview Guide 1 Provider Interview Guide
Information Gathering and Usability Testing to Harmonize AHRQ Data Tools 1 INTERVIEW DISCUSSION GUIDES
Partner/Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division 1 Nominator/Partner Survey
Card Sort A: Online Data Collection for AHRQ.gov 1 Card Sort A: Online Data Collection for AHRQ.gov
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division 1 Questions for Patient Key Informants
Patient Key Informant Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division 1 Patient Key Informants
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program 1 Questions for Stakeholders
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division 1 Nominator Customer Satisfaction Survey
Focus Groups on TeamSTEPPS® for Long-Term Care Curriculum 2 2. Appendix B – Moderator Guide
Card Sort B: Online Data Collection for AHRQ.gov 1 Card Sort B: Online Data Collection for AHRQ.gov
Information Gathering and Usability Testing for AHRQ Data Tools Platform Development and Maintenance 1 AHRQ Data Tools Interview Guide
Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QI) Customer Survey 1 2018 AHRQ QI SURVEY
Health Services and Primary Care Research (HSPCR) Study, Stakeholder Interviews 2, 1 HSPCR Interview Guide: Other Stakeholders in HSR and PCR ,   HSPCR Interview Guide: Researchers in HSR and PCR
End user Survey to support redesign of the National Center for Excellence in Primary Care Research website 1, 2, 3, 4 End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders ,   End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders ,   End user Survey to support redesign of the NCEPCR website: Primary Care Researchers ,   Post Website Evaluation
AHRQ.gov Taxonomy Tree Test 1 AHRQ.gov Taxonomy Tree Test
Patient Interview Guide 1 Patient Interview Guide
Stakeholder Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Program 1 Stakeholders
Nominator Customer Satisfaction Survey for the Evidence Based Practice Center (EPC) Division 1 Nominator Customer Satisfaction Survey
Request for Opioid Project Information from Patient Safety Organizations (PSOs) 1 Request for Opioid Project Information

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,900 10,900 0 0 0 0
Annual Time Burden (Hours) 3,383 3,383 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$848,556
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Erwin Brown 301 427-1652 erwin.brown@ahrq.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/21/2020


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