Data Collection for CDC Fellowship Programs

Forms and Documents

Document Name	Status
Form Mentor Survey CDC Fellowship Programs Assessments Form and Instruction	New
Form 0920-1163 CDC Undergraduate Public Health Scholars (CUPS) Program Assessment – Alumni Survey Form and Instruction	Unchanged
Nonsubstantial change request OMB CUPS Assessment.docx Justification for No Material/Nonsubstantive Change	2020-11-15
Research Determination Memorandum_ CDC Fellowship Programs Assessments.pdf Supplementary Document	2020-01-28
Att 5 - SORN 09-20-0161.pdf Supplementary Document	2020-01-28
Att 4 60_Day_FRN_Publication.pdf Supplementary Document	2020-01-28
Att 3 - GenIC Template.docx Supplementary Document	2020-01-28
Att 2 - List of Fellowships.docx Supplementary Document	2020-01-28
Att 1 - Authorizing Legislation.pdf Supplementary Document	2020-01-28
Supporting Statement_B_CDC Fellowship Program Assessments.docx Supporting Statement B	2020-01-28
Supporting Statement_A_CDC Fellowship Program Assessments almost final.docx Supporting Statement A	2020-01-28

IC Document Collections

IC ID	Document Title	Status
244969	CDC Fellowship Programs Assessments Form and Instruction	New
240817	CDC Undergraduate Public Health Scholars (CUPS) Program Assessment – Alumni Survey Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-1163	ICR Reference No: 202011-0920-006
Status: Active	Previous ICR Reference No: 202001-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1163-21BB
Title: Data Collection for CDC Fellowship Programs
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/01/2020
	Date Received in OIRA: 11/30/2020
Terms of Clearance: Previous terms continue: Approved consistent with the understanding that outcomes from the genICs submitted under this OMB control number will not be generalizable to broader populations and are intended to inform internal fellowship program development. No incentives will be offered to respondents. All genICs submitted will include the instruments, any consent forms/recruitment letters, a supporting statement part A, and a supporting statement Part B where necessary.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	03/31/2023	03/31/2023
Responses	17,742	0	17,742
Time Burden (Hours)	8,871	0	8,871
Cost Burden (Dollars)	286,748	0	286,748

---

Abstract: The intended use of data collected is to inform planning, implementation, and continuous quality improvement of CDC fellowship programs. Data collection methods include focus groups, interviews, and surveys, using both purposive and probabilistic samples. Respondent populations include potential applicants, fellows, alumni, supervisors, mentors, and employers of alumni. Data will be analyzed relative to the data collection methods and purpose. There are no substantial changes for this Extension request.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 50451	09/25/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5667	01/31/2020
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
CDC Undergraduate Public Health Scholars (CUPS) Program Assessment – Alumni Survey	0920-1163	CUPS Alumni Assessment Survey
CDC Fellowship Programs Assessments	Mentor Survey, Mentor Interview Recruitment Form, Alumni Survey, Alumni Interview Recruitment Form, Alumni Interview	0920-21BN ,   0920-21BN ,   0920-21BN ,   0920-21BN ,   0920-21BN

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,742	17,742	0	0	0	0
Annual Time Burden (Hours)	8,871	8,871	0	0	0	0
Annual Cost Burden (Dollars)	286,748	286,748	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $129,876

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/30/2020

---