Information Collection

2015 Science Ambassador Workshop Satisfaction Survey

IC 217166 under ICR 201305-0920-009 · OMB 0920-0974.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.