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Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0935-0179
IC ID: 229442
OMB.report
HHS/AHRQ
OMB 0935-0179
ICR 202009-0935-002
IC 229442
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0179 can be found here:
2023-10-05 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520)
Form and Instruction
1 Category 1
Category 1 Key Informant Interview Guide_SPPC-AHRQedited-clean-11.20.docx
Form and Instruction
2 Category 2
Category 2 Key Informant Interview Guide- AHRQrev 12.12.docx
Form and Instruction
3 Category 3
Category 3 Key Informant Interview Guide_AHRQrev-12.12.docx
Form and Instruction
4 Category 4
Category 4 Key Informant Interview Guide_AHRQrev 12.12.docx
Form and Instruction
5 Category 5
Category 5 Key Informant Interview Guide.docx
Form and Instruction
SPPC-II-OMB Cover Letter.doc
Cover Letter
IC Document
SPPC-II-Attachment B -- Submission Form-v2.docx
Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Stakeholder Interviews for Task 1 of AHRQ's SPPC-II Contract (RFTOP #17-233-SOL-00520)
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
Category 1
Category 1 Key Informant Interview Guide_SPPC-AHRQedited-clean-11.20.docx
No
Paper Only
Form and Instruction
2
Category 2
Category 2 Key Informant Interview Guide- AHRQrev 12.12.docx
No
Paper Only
Form and Instruction
3
Category 3
Category 3 Key Informant Interview Guide_AHRQrev-12.12.docx
No
Paper Only
Form and Instruction
4
Category 4
Category 4 Key Informant Interview Guide_AHRQrev 12.12.docx
No
Paper Only
Form and Instruction
5
Category 5
Category 5 Key Informant Interview Guide.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
15
0
0
0
0
15
Annual IC Time Burden (Hours)
10
0
0
0
0
10
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Cover Letter
SPPC-II-OMB Cover Letter.doc
12/13/2017
Supporting Statement
SPPC-II-Attachment B -- Submission Form-v2.docx
12/13/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.