Information Collection

2019 ELI Fellowship End of Year Evaluation Survey

IC 236424 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0974 2019 ELI Fellowship End of Year Evaluation Survey	Form and Instruction
0920-0974 2019 ELI Fellowship Survey Att_1_0920-0974_2019_ELI_Fellowship_EndOfYear_Survey_Fellows.docx	Form and Instruction
Att_3_0920-0974_2019_ELI_Fellowship_Invitation_Email_subm.docx Invitation Email	IC Document
Att_4_0920-0974_2019_ELI_Fellowship_Reminder_Email_.docx Reminder Email	IC Document
Att_2_0920-0974_2019_ELI_Fellowship_EndOfYear_Survey_Screenshots_Fellow.docx Survey Screenshots	IC Document
New_Requirements SSA_ 2019_ELI_Cust_Serv_Fdbk_Survey.docx SSA table info	IC Document
GenIC Req_0920-0974_2019_ELI_Conf_Cust_Serv_Fdbk_Survey.docx GenIC Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-0974-19BGH

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	0920-0974	2019 ELI Fellowship Survey	Att_1_0920-0974_2019_ELI_Fellowship_EndOfYear_Survey_Fellows.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	13	13
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Invitation Email	Att_3_0920-0974_2019_ELI_Fellowship_Invitation_Email_subm.docx	06/11/2019
Reminder Email	Att_4_0920-0974_2019_ELI_Fellowship_Reminder_Email_.docx	06/11/2019
Survey Screenshots	Att_2_0920-0974_2019_ELI_Fellowship_EndOfYear_Survey_Screenshots_Fellow.docx	06/11/2019
SSA table info	New_Requirements SSA_ 2019_ELI_Cust_Serv_Fdbk_Survey.docx	06/11/2019
GenIC Template	GenIC Req_0920-0974_2019_ELI_Conf_Cust_Serv_Fdbk_Survey.docx	06/11/2019

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