Information Collection

Division of Scientific Education and Professional Development (DSEPD) Pan-Fellowship Stakeholder Survey

IC 226566 under ICR 201608-0920-018 · OMB 0920-1163.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1163 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
3_Attachment_B_FellowshipSurvey_WebVersion.pdf	Other-WEB
2_Attachment_A_Fellowship_Survey_WordVersion.docx	Other-WORD
4_Attachment_C_FellowshipSurvey_Announcement.docx Att C_Announcement	IC Document
5_Attachment_D_FellowshipSurvey_EmailInvitation.docx Att D Email Invitation	IC Document
6_Attachment_E_FellowshipSurvey_ReminderEmail1.docx Att E Reminder Email 1	IC Document
7_Attachment_F_FellowshipSurvey_ReminderEmail2.docx Att F Reminder Email 2	IC Document
8_Attachment_G_FellowshipSurvey_ReminderEmail3.docx Att G Reminder Email 3	IC Document
9_Attachment_H_FellowshipSurvey_SampleScript.docx Att H_Sample Script	IC Document
10_AttachmentI_FellowshipSurvey_HSRdetermination.pdf Att I Determination	IC Document
1_FellowshipSurvey_RequestGenIC.docx Request for Approval	IC Document

IC Title:

Division of Scientific Education and Professional Development (DSEPD) Pan-Fellowship Stakeholder Survey

Agency IC Tracking Number:

17AGY

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
Other-WEB			3_Attachment_B_FellowshipSurvey_WebVersion.pdf		Yes	Yes	Fillable Fileable
Other-WORD			2_Attachment_A_Fellowship_Survey_WordVersion.docx		Yes	Yes	Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 947

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	947	947
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att C_Announcement	4_Attachment_C_FellowshipSurvey_Announcement.docx	04/27/2017
Att D Email Invitation	5_Attachment_D_FellowshipSurvey_EmailInvitation.docx	04/27/2017
Att E Reminder Email 1	6_Attachment_E_FellowshipSurvey_ReminderEmail1.docx	04/27/2017
Att F Reminder Email 2	7_Attachment_F_FellowshipSurvey_ReminderEmail2.docx	04/27/2017
Att G Reminder Email 3	8_Attachment_G_FellowshipSurvey_ReminderEmail3.docx	04/27/2017
Att H_Sample Script	9_Attachment_H_FellowshipSurvey_SampleScript.docx	04/27/2017
Att I Determination	10_AttachmentI_FellowshipSurvey_HSRdetermination.pdf	04/27/2017
Request for Approval	1_FellowshipSurvey_RequestGenIC.docx	04/28/2017

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