Information Collection

CDC Public Health Emergency Management Fellowship Feedback

IC 231504 under ICR 201605-0920-001 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 CDC Public Health Emergency Management Fellowship Feedback	Form and Instruction
0920-1050 PHEMF Feedback AttA-Interview.docx	Form and Instruction
OPHPR-0920-1050-GenICRequest_ICROcomments_clean.docx OPHPR 0920-1050 GenIC request template	IC Document

IC Title:

CDC Public Health Emergency Management Fellowship Feedback

Agency IC Tracking Number:

0920-1050 18AGN

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	0920-1050	PHEMF Feedback	AttA-Interview.docx	NA	No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OPHPR 0920-1050 GenIC request template	OPHPR-0920-1050-GenICRequest_ICROcomments_clean.docx	05/18/2018

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