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End user Survey to support redesign of the National Center for Excellence in Primary Care Research website
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0935-0179
IC ID: 240821
OMB.report
HHS/AHRQ
OMB 0935-0179
ICR 202009-0935-002
IC 240821
( )
⚠️ Notice: This information collection may be referencing outdated material.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
End user Survey to support redesign of the National Center for Excellence in Primary Care Research website
Form and Instruction
1 End user Survey to support redesign of the NCEPCR websit
Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx
Form and Instruction
2 End user Survey to support redesign of the NCEPCR websit
Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx
Form and Instruction
3 End user Survey to support redesign of the NCEPCR websit
Webdesign survey for NCEPCR website development Researchers v3.19.20.docx
Form and Instruction
4 Post Website Evaluation
Webdesign survey for NCEPCR post-website evaluation_v3.19.20.docx
Form and Instruction
Cover Letter.docx
Cover Letter
IC Document
Generic Clearance Submission Website formative Interviews.docx
Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
End user Survey to support redesign of the National Center for Excellence in Primary Care Research website
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
End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders
Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx
No
Paper Only
Form and Instruction
2
End user Survey to support redesign of the NCEPCR website: Primary Care clinicians/Quality Improvement Leaders
Webdesign survey for NCEPCR website development cliniciansQI v3.19.20.docx
No
Paper Only
Form and Instruction
3
End user Survey to support redesign of the NCEPCR website: Primary Care Researchers
Webdesign survey for NCEPCR website development Researchers v3.19.20.docx
No
Paper Only
Form and Instruction
4
Post Website Evaluation
Webdesign survey for NCEPCR post-website evaluation_v3.19.20.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:
30
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
45
0
0
0
0
45
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Cover Letter
Cover Letter.docx
03/23/2020
Supporting Statement
Generic Clearance Submission Website formative Interviews.docx
03/23/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.