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[PHIC] SAF Exit Survey and Focus Groups
[PHIC] Data Collection for CDC Fellowship Programs
OMB: 0920-1163
IC ID: 268316
OMB.report
HHS/CDC
OMB 0920-1163
ICR 202411-0920-004
IC 268316
( )
Documents and Forms
Document Name
Document Type
Form 0920-1163
[PHIC] SAF Exit Survey and Focus Groups
Form and Instruction
Att_5_0920-1163_2024 SAF Focus Group Discussion Guide.docx
Instruction
Att_6_0920-1163_2024_SAF Exit Survey_Focus Group Invitation Email.docx
Instruction
Att_7_0920-1163_2024_SAF Exit Survey Reminder Email.docx
Instruction
Att_8_0920-1163_2024_SAF Focus Group Availability Poll Reminder Email.docx
Instruction
0920-1163 2024 CDC Science Ambassador Fellowship Exit Survey
Att_2_0920-1163_2024_SAF Exit Survey Screenshots.docx
Form and Instruction
0920-1163 2024 CDC SAF Focus Group Availability
Att_4_0920-1163_2024_SAF Focus Group Availability Poll Screenshots.docx
Form and Instruction
CDC Fellowship Programs Assessment GenIC Request_2024 SAF Exit Survey, Focus Group Availability Poll, and Focus Group.docx
Request for Approval under the “Generic Clearance for CDC Fellowship Programs Assessments (OMB Control Number: 0920-1163)
IC Document
New_Requirements_2024_SAF Exit Survey, Focus Group Availability Poll, & Focus Group Discussion Guide.docx
New Requirements for Supporting Statement A _genIC
IC Document
Att_1_0920-1163_2024_SAF Exit Survey.docx
2024 SAF Exit Survey (WORD)
IC Document
Att_3_0920-1163_2024_SAF Focus Group Availability Poll.docx
2024 CDC SAF Focus Group Availability (WORD)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[PHIC] SAF Exit Survey and Focus Groups
Agency IC Tracking Number:
0920-1163-24GJ
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
2024 CDC Science Ambassador Fellowship Exit Survey
Att_2_0920-1163_2024_SAF Exit Survey Screenshots.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1163
2024 CDC SAF Focus Group Availability
Att_4_0920-1163_2024_SAF Focus Group Availability Poll Screenshots.docx
Yes
Yes
Fillable Fileable
Instruction
Att_5_0920-1163_2024 SAF Focus Group Discussion Guide.docx
Yes
Yes
Printable Only
Instruction
Att_6_0920-1163_2024_SAF Exit Survey_Focus Group Invitation Email.docx
Yes
Yes
Printable Only
Instruction
Att_7_0920-1163_2024_SAF Exit Survey Reminder Email.docx
Yes
Yes
Printable Only
Instruction
Att_8_0920-1163_2024_SAF Focus Group Availability Poll Reminder Email.docx
Yes
Yes
Printable Only
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:
35
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
35
0
0
0
0
35
Annual IC Time Burden (Hours)
27
0
0
0
0
27
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval under the “Generic Clearance for CDC Fellowship Programs Assessments (OMB Control Number: 0920-1163)
CDC Fellowship Programs Assessment GenIC Request_2024 SAF Exit Survey, Focus Group Availability Poll, and Focus Group.docx
06/06/2024
New Requirements for Supporting Statement A _genIC
New_Requirements_2024_SAF Exit Survey, Focus Group Availability Poll, & Focus Group Discussion Guide.docx
06/06/2024
2024 SAF Exit Survey (WORD)
Att_1_0920-1163_2024_SAF Exit Survey.docx
06/06/2024
2024 CDC SAF Focus Group Availability (WORD)
Att_3_0920-1163_2024_SAF Focus Group Availability Poll.docx
06/06/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.