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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
OMB: 0935-0106
IC ID: 214829
OMB.report
HHS/AHRQ
OMB 0935-0106
ICR 201709-0935-003
IC 214829
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0106 can be found here:
2020-09-22 - Revision of a currently approved collection
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
View Information Collection (IC)
IC Title:
Return on Investment of AHRQ's Individual Career Development (K) Award Program Evaluation
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
Questionnaire for the K Program Participants
Attachment A - K Award Survey Final Submission EB edited.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:
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 %
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
167
0
0
0
0
167
Annual IC Time Burden (Hours)
42
0
0
0
0
42
Annual IC Cost Burden (Dollars)
0
0
0
0
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.