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2018 Science Ambassador Fellowship Exit Satisfaction Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-1050
IC ID: 232303
OMB.report
HHS/CDC
OMB 0920-1050
ICR 201605-0920-001
IC 232303
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1050
2018 Science Ambassador Fellowship Exit Satisfaction Survey
Form and Instruction
0920-1050 Science Ambassador Fellowship Exit Satisfaction Survey -
Att_2_Science_Amb_Fwshp_Exit_Cust_Sat_Survey_Screenshots.docx
Form and Instruction
Att_3_Survey_Inv_Email.docx
Invitation Email
IC Document
Att_4_Survey_Re_Email.docx
Reminder Email
IC Document
GenIC Req_0920-1050_2018_Science_Amb_Fwshp_Exit_Cust_Sat_Survey_Subm.docx
GenIC Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2018 Science Ambassador Fellowship Exit Satisfaction Survey
Agency IC Tracking Number:
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
0920-1050
Science Ambassador Fellowship Exit Satisfaction Survey - Screenshot
Att_2_Science_Amb_Fwshp_Exit_Cust_Sat_Survey_Screenshots.docx
NA
Yes
Yes
Fillable Fileable
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:
Individuals or Households
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
Invitation Email
Att_3_Survey_Inv_Email.docx
07/19/2018
Reminder Email
Att_4_Survey_Re_Email.docx
07/19/2018
GenIC Request
GenIC Req_0920-1050_2018_Science_Amb_Fwshp_Exit_Cust_Sat_Survey_Subm.docx
07/19/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.