2019 Science Ambassador Fellowship Summer Course Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
2019 Science Ambassador Fellowship Summer Course Satisfaction Survey Form and Instruction
Att_1_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey.docx Other-Word version of the survey to
2019 Science Ambassador Fellowship Summer Course Satisfa Att_2_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Screen_Shots.docx Form and Instruction
SSA_New_Requirements_0920-0974_2019_Science_Amb_Fwshp_Sum_Course.docx Overview of project purpose and methods IC Document
GenIC Req_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey.docx Template with full Project Description IC Document
Att_3_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Inv_Email.docx Invitation Email IC Document
Att_4_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Re_Email.docx Reminder Email IC Document

Information Collection (IC) Details

IC Title:	2019 Science Ambassador Fellowship Summer Course Satisfaction Survey	Agency IC Tracking Number:	0920-0974-19BGK

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	n/a	2019 Science Ambassador Fellowship Summer Course Satisfaction Survey	Att_2_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Screen_Shots.docx		Yes	Yes	Fillable Fileable
Other-Word version of the survey to facilitate review of survey content			Att_1_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey.docx		No		Paper Only

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 Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Overview of project purpose and methods	SSA_New_Requirements_0920-0974_2019_Science_Amb_Fwshp_Sum_Course.docx	06/11/2019
Template with full Project Description	GenIC Req_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey.docx	06/11/2019
Invitation Email	Att_3_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Inv_Email.docx	06/11/2019
Reminder Email	Att_4_2019_Science_Amb_Fwshp_Sum_Course_Cust_Sat_Survey_Re_Email.docx	06/11/2019

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