Appendix
Template for Submissions of Topics for AHRQ Evidence Reports or Technology Assessments

Please complete the following information to nominate an AHRQ evidence report or technology assessment topic. Topic nominations should be submitted to Acting Director, Evidence-based Practice Centers (EPC) Program, Center for Outcomes and Evidence at AHRQ. Please e-mail this document to epc@ahrq.gov.


AHRQ will evaluate nominations based on: (a) the rationale and evidence of the importance of the topic; (b) plans for rapid translation of the resulting EPC report findings; (c) plans for dissemination of derivative products; and (d) plans for measuring the use and impact of an EPC report.


Note: Please refer to the Federal Register Notice (http://edocket.access.gpo.gov/2005/04-27058.htm) for the due date of this topic nomination; topic nominations are typically due 50-60 days following the publication of the Federal Register Notice, for submittal of topics for consideration in the current fiscal year. However, topic nominations also can be submitted electronically to AHRQ on an ongoing basis.

Nominating Organization Information

Please provide contact information and an overview of the nominating organization, such as its mission, priorities, research agenda and/or interest or commitment to evidence analyses, etc.



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