Evaluation activities within the Agency for Healthcare Research and Quality (AHRQ) provide executive management, program officers and audiences external to the Agency with evaluative findings concerning the Agency's effectiveness and efficiency in meeting its GPRA, PART and other performance goals. The work is conducted moreover by external, independent evaluators and complies with (OMB) Paperwork Reduction Act requirements. Evaluation is built into (beginning at the design phase) virtually all major AHRQ programmatic or portfolio activities. Among evaluation mechanisms used by the Agency are targeted evaluation studies undertaken through contracts that use a variety of quantitative and qualitative methods and that are increasingly tending toward providing more real-time monitoring feedback. Evaluation activities also include satisfaction feedback from AHRQ "customers" regarding the usefulness of AHRQ research findings and dissemination products.