2015 Science Ambassador Workshop Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0974 can be found here:

Documents and Forms

Document Name Document Type
2015 Science Ambassador Workshop Satisfaction Survey Form and Instruction
2015 Science Ambassador Workshop Satisfaction Survey GenIC Req_0920-0974_Att_2_2015 Science Amb Wkshp Sat Surv_06-26-2015_Subm.docx Form and Instruction
GenIC Req_0920-0974_2015 Science Ambassador Wkshp_06-26-2015_Subm.docx Request for GenIC Approval IC Document
GenIC Req_0920-0974_Att_3_2015 Science Amb Wkshp Invit Email_06-26-2015_Subm.docx Invitation Email IC Document
GenIC Req_0920-0974_Att_4_2015 Science Amb Wkshp_Remind_06-26-2015_Subm.docx Reminder Email IC Document

Information Collection (IC) Details

IC Title:	2015 Science Ambassador Workshop Satisfaction Survey	Agency IC Tracking Number:	15ARI

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	None	2015 Science Ambassador Workshop Satisfaction Survey	GenIC Req_0920-0974_Att_2_2015 Science Amb Wkshp Sat Surv_06-26-2015_Subm.docx	None	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for GenIC Approval	GenIC Req_0920-0974_2015 Science Ambassador Wkshp_06-26-2015_Subm.docx	06/26/2015
Invitation Email	GenIC Req_0920-0974_Att_3_2015 Science Amb Wkshp Invit Email_06-26-2015_Subm.docx	06/26/2015
Reminder Email	GenIC Req_0920-0974_Att_4_2015 Science Amb Wkshp_Remind_06-26-2015_Subm.docx	06/26/2015

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