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TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0935-0179
IC ID: 251010
OMB.report
HHS/AHRQ
OMB 0935-0179
ICR 202310-0935-001
IC 251010
( )
Documents and Forms
Document Name
Document Type
Form 1
TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS
Form and Instruction
1 Proposed Approach for Task 3
CAHPS TA User Feedback 12-16-2021.docx
Form and Instruction
1 Proposed Approach for Task 3
CAHPS TA User Feedback 12-16-2021.docx
Form and Instruction
2 Proposed Approach for Task 7
SOPS TA User Feedback 12-16-2021.docx
Form and Instruction
2 Proposed Approach for Task 7
SOPS TA User Feedback 12-16-2021.docx
Form and Instruction
CAHPS SOPS TA Feedback OMB Submission 12-16-2021.docx
Supporting Statement
IC Document
CAHPS SOPS TA Feedback OMB Submission 12-16-2021.docx
Supporting Statement
IC Document
OMB Cover Letter.docx
Cover Letter
IC Document
OMB Cover Letter.docx
Cover Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS
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
Proposed Approach for Task 3
CAHPS TA User Feedback 12-16-2021.docx
Yes
Yes
Fillable Fileable
Form and Instruction
2
Proposed Approach for Task 7
SOPS TA User Feedback 12-16-2021.docx
Yes
Yes
Fillable Fileable
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:
240
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
240
0
0
0
0
240
Annual IC Time Burden (Hours)
12
0
0
0
0
12
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement
CAHPS SOPS TA Feedback OMB Submission 12-16-2021.docx
01/04/2022
Cover Letter
OMB Cover Letter.docx
01/04/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.