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2019 ELI Fellowship End of Year Evaluation Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-0974
IC ID: 236424
OMB.report
HHS/CDC
OMB 0920-0974
ICR 201606-0920-007
IC 236424
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2019 ELI Fellowship End of Year Evaluation Survey
Agency IC Tracking Number:
0920-0974-19BGH
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
0920-0974
2019 ELI Fellowship Survey
Att_1_0920-0974_2019_ELI_Fellowship_EndOfYear_Survey_Fellows.docx
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:
13
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
13
0
13
0
0
0
Annual IC Time Burden (Hours)
2
0
2
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_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.