Information Collection

CDC Undergraduate Public Health Scholars (CUPS) Program Assessment – Alumni Survey

IC 240817 under ICR 202011-0920-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1163 CDC Undergraduate Public Health Scholars (CUPS) Program Assessment – Alumni Survey	Form and Instruction
0920-1163 CUPS Alumni Assessment Survey CDC CUPS Alumni Assessment Final 20200504.docx	Form and Instruction
Project Determination CUPS.docx Project Determination	IC Document
CUPS Evaluation Survey invitation 20200501.docx CUPS Evaluation Survey invitation	IC Document
Request for Approval - GenIC CUPS Student Follow-up Survey 20200505.docx Request for Approval Gen IC CUPS Student Follow-up Survey	IC Document

IC Title:

CDC Undergraduate Public Health Scholars (CUPS) Program Assessment â Alumni Survey

Agency IC Tracking Number:

IC Status: Unchanged

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	0920-1163	CUPS Alumni Assessment Survey	CDC CUPS Alumni Assessment Final 20200504.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Project Determination	Project Determination CUPS.docx	03/24/2020
CUPS Evaluation Survey invitation	CUPS Evaluation Survey invitation 20200501.docx	05/04/2020
Request for Approval Gen IC CUPS Student Follow-up Survey	Request for Approval - GenIC CUPS Student Follow-up Survey 20200505.docx	05/05/2020

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