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2018 Science Ambassador Fellowship Summer Course Satisfaction Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-1050
IC ID: 231619
OMB.report
HHS/CDC
OMB 0920-1050
ICR 201605-0920-001
IC 231619
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:
2022-05-23 - Extension without change of a currently approved collection
2019-03-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
2018 Science Ambassador Fellowship Summer Course Satisfaction Survey
Form
Att_1_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey.docx
Other-Reference document: Word versi
2018 Science Ambassador Fellowship Summer Course Satisfa
Att_2_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Screenshots.docx
Form
GenIC Req_0920-1050_2018_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Subm.docx
Completed GENIC template with project description
IC Document
SSA_New_Requirements_0920-1050_2018_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Subm.docx
Overview of project purpose and methods (bullet point format)
IC Document
Att_3_Survey_Inv_Email.docx
Email invitation for survey respondents
IC Document
Att_4_Survey_Re_Email.docx
Email reminder for survey respondents
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2018 Science Ambassador Fellowship Summer Course Satisfaction Survey
Agency IC Tracking Number:
0920-18AKA
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
n/a
2018 Science Ambassador Fellowship Summer Course Satisfaction Survey
Att_2_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Screenshots.docx
Yes
Yes
Fillable Fileable
Other-Reference document: Word version of survey content
Att_1_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey.docx
No
Paper 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:
30
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
30
0
30
0
0
0
Annual IC Time Burden (Hours)
5
0
5
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Completed GENIC template with project description
GenIC Req_0920-1050_2018_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Subm.docx
06/01/2018
Overview of project purpose and methods (bullet point format)
SSA_New_Requirements_0920-1050_2018_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Subm.docx
06/01/2018
Email invitation for survey respondents
Att_3_Survey_Inv_Email.docx
06/01/2018
Email reminder for survey respondents
Att_4_Survey_Re_Email.docx
06/01/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.