EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey

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

Documents and Forms

Document Name Document Type
Form 0920-0974 EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey Form and Instruction
Att_2_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey_Screen_Shots.docx Other-Survey (screenshots)
0920-0974 CDC Fellowship Applicant Customer Satisfaction Survey Att_1_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey.docx Form and Instruction
GenIC Req_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey.docx Reqest for Approval IC Document
New_Requirements_0920-0974_2019_CDC_Fellowship_Applicant_Cust_Sat_Survey.docx ICR New Requirements IC Document
Att_3_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey_Invitation_Email.docx CDC Fellowship Applicant Customer Satisfaction Survey Invitation Email IC Document
Att_4_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey_Reminder_Email.docx CDC Fellowship Applicant Customer Satisfaction Survey Reminder Email IC Document

Information Collection (IC) Details

IC Title:	EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey	Agency IC Tracking Number:	0920-0974-BLW

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	CDC Fellowship Applicant Customer Satisfaction Survey	Att_1_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey.docx		Yes	Yes	Fillable Fileable
Other-Survey (screenshots)			Att_2_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey_Screen_Shots.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Reqest for Approval	GenIC Req_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey.docx	08/01/2019
ICR New Requirements	New_Requirements_0920-0974_2019_CDC_Fellowship_Applicant_Cust_Sat_Survey.docx	08/01/2019
CDC Fellowship Applicant Customer Satisfaction Survey Invitation Email	Att_3_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey_Invitation_Email.docx	08/01/2019
CDC Fellowship Applicant Customer Satisfaction Survey Reminder Email	Att_4_0920-0974_CDC_Fellowship_Applicant_Cust_Sat_Survey_Reminder_Email.docx	08/01/2019

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