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[PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023)
[PHIC] Data Collection for CDC Fellowship Programs
OMB: 0920-1163
IC ID: 263620
OMB.report
HHS/CDC
OMB 0920-1163
ICR 202411-0920-004
IC 263620
( )
Documents and Forms
Document Name
Document Type
Form 0920-1163
[PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023)
Form and Instruction
0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey
Att_1_0920-1163_2023_CDC SAF Alumni Survey.docx
Form and Instruction
Att_3_0920_1163_2023_SAF Alumni Survey_Invitation Email.docx
SAF Survey Invitation Email
IC Document
Att_4_0920_1163_2023_SAF Alumni Survey_Reminder Email.docx
SAF Survey Reminder Email
IC Document
GenIC Request Template_2023 SAF Alumni Survey.docx
0920-1163 GenIC Request Template
IC Document
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf
STARS Determination
IC Document
Att_2_0920-1163_2023_CDC SAF Alumni Survey Screenshots.docx
SAF Alumni Survey - screenshots
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023)
Agency IC Tracking Number:
0920-1163-24BC
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
0920-1163
Science Ambassador Fellowship (SAF) Alumni Survey
Att_1_0920-1163_2023_CDC SAF Alumni Survey.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
59
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
59
0
0
0
0
59
Annual IC Time Burden (Hours)
10
0
0
0
0
10
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SAF Survey Invitation Email
Att_3_0920_1163_2023_SAF Alumni Survey_Invitation Email.docx
11/22/2023
SAF Survey Reminder Email
Att_4_0920_1163_2023_SAF Alumni Survey_Reminder Email.docx
11/22/2023
0920-1163 GenIC Request Template
GenIC Request Template_2023 SAF Alumni Survey.docx
11/22/2023
STARS Determination
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf
11/22/2023
SAF Alumni Survey - screenshots
Att_2_0920-1163_2023_CDC SAF Alumni Survey Screenshots.docx
11/22/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.