2019 Science Ambassador Fellowship Regional Training Workshop Customer 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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1050 2019 Science Ambassador Fellowship Regional Training Workshop Customer Satisfaction Survey Form and Instruction
Att_1_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Subm.docx Other-WORD
0920-1050 Science Ambassador Regional Training Workshop Satisfacti Att_2_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Screenshots_Subm.docx Form and Instruction
Att_3_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Inv_Email_Subm.docx Att 3_Invitational Email IC Document
Att_4_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Re_Email_Subm.docx Att 4_Reminder Email IC Document
GenIC Req_0920-1050_2019_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Subm_final.docx Request for Approval IC Document
SSA_New_Requirements_0920-1050_2019_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Subm.docx Summary of Goals, Intent, Methods of Study IC Document

Information Collection (IC) Details

IC Title:	2019 Science Ambassador Fellowship Regional Training Workshop Customer Satisfaction Survey	Agency IC Tracking Number:	0920-1050-19YB

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 Regional Training Workshop Satisfaction Survey	Att_2_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Screenshots_Subm.docx		Yes	Yes	Fillable Fileable
Other-WORD			Att_1_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Subm.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 3_Invitational Email	Att_3_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Inv_Email_Subm.docx	02/26/2019
Att 4_Reminder Email	Att_4_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Re_Email_Subm.docx	02/26/2019
Request for Approval	GenIC Req_0920-1050_2019_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Subm_final.docx	02/26/2019
Summary of Goals, Intent, Methods of Study	SSA_New_Requirements_0920-1050_2019_Sci_Amb_Rgnl_Training_Wkshp_Cust_Sat_Survey_Subm.docx	02/26/2019

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