Information Collection

EIS and LLS Class of 2020 Applicant Customer Satisfaction Survey

IC 237191 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 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

IC Title:

Agency IC Tracking Number:

0920-0974-BLW

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.