[PHIC]The Division of Workforce Development (DWD) Fellowship Alumni Assessment

ICR 202402-0920-007

OMB: 0920-1078

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1078 can be found here:

2025-07-28 - No material or nonsubstantive change to a currently approved collection
2025-05-05 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form 0920-1078 SAF Alumni Form and Instruction	New
Form 0920-1078 PHAP Alumni Form and Instruction	New
Form 0920-1078 PHIFP Alumni Form and Instruction	New
Form 0920-1078 PE Fellowship Alumni Form and Instruction	New
Form 0920-1078 FLIGHT Alumni Form and Instruction	New
Form 0920-1078 EIS/LLS Alumni Form and Instruction	New
Form 0920-1078 EFP Alumni Form and Instruction	New
Form 0920-1078 EEP Alumni Survey Form and Instruction	New
PHAP Alumni Survey Form and Instruction	Removed
PHAP Host Site Supervisor Survey Form and Instruction	Removed
Att N_Acronym List.docx Supplementary Document	2024-02-16
Att M_Privacy Act Checklist.docx Supplementary Document	2024-02-16
Att L-2_SAF Reminder Email.docx Supplementary Document	2024-02-16
Att L-1_SAF Invitation Email.docx Supplementary Document	2024-02-16
Att K-2_PHAP Reminder Email.docx Supplementary Document	2024-02-16
Att K-1_PHAP Initial Email.docx Supplementary Document	2024-02-16
Att J-2_PHIFP Reminder Email.docx Supplementary Document	2024-02-16
Att J-1_PHIFP Initial Email.docx Supplementary Document	2024-02-16
Att I-2_PE Reminder Email.docx Supplementary Document	2024-02-16
Att I-1_PE Initial Email.docx Supplementary Document	2024-02-16
Att H-2_FLIGHT Reminder Email.docx Supplementary Document	2024-02-16
Att H-1_FLIGHT Initial Email.docx Supplementary Document	2024-02-16
Att G-2_EIS-LLS Reminder Email.docx Supplementary Document	2024-02-16
Att G-1_EIS-LLS Initial Email.docx Supplementary Document	2024-02-16
Att F-2_EFP Reminder Email.docx Supplementary Document	2024-02-16
Att F-1_EFP Initial Email.docx Supplementary Document	2024-02-16
Att E-2_EEP Reminder Email.docx Supplementary Document	2024-02-16
Att E-1_EEP Initial Email.docx Supplementary Document	2024-02-16
Att D_Alumni Survey Screen Shots.docx Supplementary Document	2024-02-16
Att A_Public Health Service Act.docx Supplementary Document	2024-02-16
Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docx Supplementary Document	2020-12-01
Attachment M_PHAP Alumni Survey Reminder Email-FINAL.docx Supplementary Document	2020-12-01
Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docx Supplementary Document	2020-12-01
Attachment J_PHAP Host Site Supervisor Survey Final Reminder_FINAL.docx Supplementary Document	2020-12-01
Attachment I_PHAP Host Site Supervisor Survey Second Reminder Email_FINAL.docx Supplementary Document	2020-12-01
Attachment H_PHAP Host Site Supervisor Survey Reminder Email_FINAL.docx Supplementary Document	2020-12-01
Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docx Supplementary Document	2020-12-01
Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docx Supplementary Document	2020-12-01
Attachment D_Published 60 day_11022020.pdf Supplementary Document	2020-12-01
Attachment A_Public Health Service Act_FINAL.docx Supplementary Document	2020-12-01
DWD Alumni Survey ICR- Statement B Revision.docx Supporting Statement B	2024-02-16
DWD Alumni ICR- Statement A Revision.docx Supporting Statement A	2024-02-16

IC Document Collections

IC ID	Document Title	Status
265458	SAF Alumni Form and Instruction	New
265457	PHAP Alumni Form and Instruction	New
265456	PHIFP Alumni Form and Instruction	New
265455	PE Fellowship Alumni Form and Instruction	New
265454	FLIGHT Alumni Form and Instruction	New
265453	EIS/LLS Alumni Form and Instruction	New
265452	EFP Alumni Form and Instruction	New
265415	EEP Alumni Survey Form and Instruction	New
229893	PHAP Alumni Survey Form and Instruction	Removed
229891	PHAP Host Site Supervisor Survey Form and Instruction	Removed

ICR Details