Return on Investment of AHRQ's Individual Career Development (K) Award Program Evaluation

Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0106 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Return on Investment of AHRQ's Individual Career Development (K) Award Program Evaluation Form and Instruction
1 Questionnaire for the K Program Participants Attachment A - K Award Survey Final Submission EB edited.docx Form and Instruction
Supporting Statement A Generic -- Return.doc SUPPORTING STATEMENT A Return on Investment of AHRQ’s Individual Career Development (K) Award Program Evaluation IC Document
Supporting Statement Part B -- Return.doc Supporting Statement B -- Return on Investment of AHRQ’s Individual Career Development (K) Award Program Evaluation IC Document

Information Collection (IC) Details

IC Title:	Return on Investment of AHRQ's Individual Career Development (K) Award Program Evaluation	Agency IC Tracking Number:

IC Status: New

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	Questionnaire for the K Program Participants	Attachment A - K Award Survey Final Submission EB edited.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 167	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	167	167
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SUPPORTING STATEMENT A Return on Investment of AHRQ’s Individual Career Development (K) Award Program Evaluation	Supporting Statement A Generic -- Return.doc	01/30/2015
Supporting Statement B -- Return on Investment of AHRQ’s Individual Career Development (K) Award Program Evaluation	Supporting Statement Part B -- Return.doc	01/30/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.