AHRQ.gov Taxonomy Tree Test

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:

Documents and Forms

Document Name Document Type
Form 1 AHRQ.gov Taxonomy Tree Test Form and Instruction
1 AHRQ.gov Taxonomy Tree Test Appendix A -- Data collection instruments.docx Form and Instruction
OMB Cover Letter.doc Cover Letter IC Document
AHRQ.gov Taxonomy Tree Test OMB Submission.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	AHRQ.gov Taxonomy Tree Test	Agency IC Tracking Number:

IC Status: Unchanged

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	1	AHRQ.gov Taxonomy Tree Test	Appendix A -- Data collection instruments.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Letter	OMB Cover Letter.doc	01/08/2015
Supporting Statement	AHRQ.gov Taxonomy Tree Test OMB Submission.docx	01/08/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.