Information Collection

2019 Science Ambassador Fellowship Summer Course Satisfaction Survey

IC 236433 under ICR 201606-0920-007 · OMB 0920-0974.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

0920-0974-19BGK

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.