Change Request Template

eFMS 2.0 Change Request for EWB_Dec 2021_final.docx

Fellowship Management System

Change Request Template

OMB: 0920-0765

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Non-substantive Change Request
OMB Control Number 0920-0765
Fellowship Management System

Application Module

Host Site Module

Activity Tracking Module


Date Submitted: December 22, 2021

Programs request approval by January 30, 2022

This is a change request for the Centers for Disease Control and Prevention (CDC) Fellowship Management System (FMS). The web-based, flexible, and robust data management system allows CDC to electronically collect and process fellowship applications, host site assignment proposals, and fellowship alumni information from nonfederal persons. FMS also supports and monitors ongoing fellowship activities and compliance with fellowship requirements. Through Revisions and Change Requests, CDC has adapted the FMS to reflect changes in the demand for fellowship opportunities, to improve alignment and tailoring of questions for each fellowship program's eligibility criteria, and to clarify questions and instructions in response to user feedback. FMS consists of four modules. Each module (Application Module, Alumni Module, Host Site, and Activity Tracking Module) has specialized functionality, and in the currently approved ICR for FMS (OMB No. 0920-0765), information collection occurs for multiple fellowships (see Table A).


In this Change Request, CDC seeks OMB approval to accommodate specific changes to the application module for all fellowships (Table A) under eFMS, as well as more specific changes to the application, host site, and activity tracking module for the following fellowship programs: Epidemiology Elective Program (EEP), the Science Ambassador Fellowship (SAF), the Epidemic Intelligence Service (EIS), and the Laboratory Leadership Service (LLS).


The proposed changes will contribute enhancements and provide the CDC with a more efficient and effective mechanism for collecting and monitoring fellowship information and ongoing fellowship activities, and compliance with fellowship requirements.


The specific changes include additional/revised questions to address the following:

  1. Increased alignment to key program evaluation questions

  2. Better matching of program participants to mentors in programs

  3. New programmatic components

  4. Modification of question and question answers to better reflect DSEPD’s recruitment efforts


Additionally, several questions were removed as they were not relevant to all programs or as useful as intended.


All the requested changes will add no more than 10 minutes to the FMS modules' entire burden. The approved FMS ICR burden time per response for each module is illustrated in Table B. The proposed changes were tested by six (6) CDC staff and external partners, timed, and found that completion of the changes overall modules result in minimal additional time per respondent. The proposed changes do not substantively impact the burden because the modifications to questions and instructional language will help to guide participants through the application process and enhance efficiency.


The details of these changes are described below and depicted in Attachments C-F with screenshots:

  1. Table C (Application Module) and Attachment 1 Application Module Screenshots

  2. Table D (Host Site Module) Attachment 2 Host-Site Module Screenshots

  3. Table E (Activity Tracking Module) and Attachment 3 Activity Tracking Module Screenshots

Table A: CDC FMS Fellowships

CDC Fellowships in FMS

Epidemic Intelligence Service (EIS)

Epidemiology Elective Program (EEP)

CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship

CDC E-learning Institute (ELI)

Future Leaders in Infectious and Global health Threats (FLIGHT)

Laboratory Leadership Service (LLS)

Population Health Training in Place Program (PH-TIPP)

Preventive Medicine Residency and Fellowship (PMR/F)

Public Health Associate Program (PHAP)

Public Health Informatics Fellowship Program (PHIFP)

Science Ambassador Fellowship (SAF)

Table B: Estimated Annualized Burden Hours*

Type of respondents

Form


Number of respondents

Frequency of Response

Average Burden per Response

(in hours)

Total Response Burden (in hours)

Fellowship applicants

FMS Application Module

Current Approval

2,216

1

71/60

2,622

Revision Request

2,216

1

75/60

2,770

Net Change

0

-

+4 minutes

+148



Type of respondents

Form


Number of respondents

Frequency of Response

Average Burden per Response

(in hours)

Total Response Burden (in hours)

Public Health Agency or Organization Staff

FMS Host Site Module

Current Approval

448

1

71/60

530

Revision Request

448

1

73/60

545

Net Change

0

-

+2 minutes

+15



Type of respondents

Form


Number of respondents

Frequency of Response

Average Burden per Response

(in hours)

Total Response Burden (in hours)

Public Health Agency or Organization Staff

FMS Activity Tracking Module

Current Approval

350

2

35/60

408

Revision Request

350

2

39/60

455

Net Change

0

-

+4 minutes

+47





New totals

Type of respondents

Form


Number of respondents

Frequency of Response

Average Burden per Response

Total Response Burden (in hours)

Across all modules (not just the 3 above)

Across all modules (not just the 3 above)

Current Approval

9708

-

-

5773

Revision Request

9708

-

-

5983

Net Change

0

-

-

+210



Table C: Proposed Changes to the FMS Application Module

Attachment 1 – Application Module

Note: for some sections, due to limitation of eFMS, a new question must be added

Program

Section

Current Question/Item

Requested Change


ALL

Table 13.2-a. Applicant Survey Fields

How did you find out about the Fellowship? (Select all that apply) *Include an open-ended box that asks to please specify

1.Word of Mouth (e.g., professor, mentor, supervisor, fellow, alumni)

2.Social Media (e.g., Facebook, LinkedIn, Instagram, Twitter, YouTube)

3.Internet search for job or fellowship opportunities

4.Job search platform (e.g., Handshake, Indeed, JOE, USAJobs, INFORMS)

5.Digital media advertisement (online ad clicked on for more information)

6.Newsletter or Email Listserv

7.Print or News Media (e.g. news sources, books, journals)

8.Other (specify)

Change type: Question revision



Which of the following most influenced you to apply to this fellowship? (select up to 3)

  1. Handshake (e.g., job posting, fellow/alumni ambassador)

  2. Other job search platform (e.g., Indeed, ZipRecruiter, Job Openings for Economists)

  3. In-person event (e.g., conference booth)

  4. News advertising (e.g., online ad, news media)

  5. Newsletter or email listserv (e.g., from CDC, your university, professional organization)

  6. Social Media (e.g., Facebook, LinkedIn, Instagram, Twitter, YouTube)

  7. Webinar or other virtual event (e.g., information session, alumni panel)

  8. Word of mouth (e.g., from current or former fellow, professor, supervisor)

  9. Other (please specify)


ALL

Table 13.2-a. Applicant Survey Fields

How did you connect with the person who told you about the fellowship by word of mouth? (Select all that apply) *Include an open-ended box that asks to please specify *If they selected word of mouth from 13.2.a question above.

1.Handshake (e.g., webinar, email, fellowship ambassador)

2.University event, webinar, presentation

3.CDC event, webinar, presentation, booth

4.Other event, webinar, presentation (specify)

5.Professional or academic setting (e.g., professor, mentor/supervisor, colleague)

6.Other (specify)

Change type: Question deletion

Remove this question from the survey


ALL

Table 13.2-a. Applicant Survey Fields

On what job search platform did you find out about the fellowships? *Only if job search platform is selected from question 13.2.a.

1.Handshake

2.Indeed

3.JOE (Job Openings for Economists

4.USAJobs

5.INFORMS

6.Other (specify)

Change type: Question deletion

Remove this question from the survey


SAF

6.6

N/A

Change type: Question addition

Add question: In the past 5 years, in which ways have you interacted with the Science Ambassador program?

Options [SELECT ALL THAT APPLY]:

  1. Attended a CDC Science Ambassador regional training workshop

  2. Previously applied to the CDC Science Ambassador Fellowship

  3. Used CDC NERD Academy curriculum in my classroom

  4. Used CDC Science Ambassador lesson plans in my classroom

  5. None of the above

  6. Other


SAF

6.6

Do you have a current teaching license in your state?

Change type: Question deletion


SAF

7.2-a

Do you want to add?

  1. Undergraduate Education

  2. Graduate Education

  3. Additional Coursework

  4. Active U.S. License

Change type: Question addition


Remove 4. Active U.S. License:


{Instructions: Include completed degrees and any degrees in progress}

Do you want to add?

  1. Undergraduate Education

  2. Graduate Education (includes degrees in progress)

  3. Additional Coursework


All

7.2-a

Do you want to add?

  1. Undergraduate Education

  2. Graduate Education

  3. Additional Coursework

  4. Active U.S. License

Change type: Question deletion

Change 2. Graduate Education to 2. Graduate Education (including degrees in progress)

{Instructions: Include degrees in progress}

Do you want to add?

  1. Undergraduate Education

  2. Graduate Education (includes degrees in progress)

  3. Additional Coursework


SAF

7.9-a

Issuing State

Change type: Question deletion


Hide entire Section 7.9-a for SAF


All

7.11-a

Incomplete Reason:

Change type: Question revision


Incomplete Reason (Note: List expected graduation date if degree is still in progress):


SAF

8.3-a

Does your organization, school or school district receive Title 1 financial assistance?

Change type: Question revision


Change question to read: Does this organization, school, or school district receive Title 1 financial assistance?


SAF

8.3-a

Does your organization, school or school district receive Title 1 financial assistance?

  1. Yes

  2. No

  3. N/A

Change type: Response option revision


Add additional answer option: 4. Prefer not to respond


SAF

9.2-a

What do you need to add?

  1. Clinical Training

  2. U.S. Board Certification

  3. Additional Training, Certification or Professional Development

  4. Language Skill

  5. None of the Above

Change type: Response option revision, question addition

1. Clinical Training

2. U.S. Board Certification

4. Language Skill



What do you need to add?

  1. Additional Training, Certification or Professional Development

  2. None of the Above


EEP

9.2-a

What do you need to add?

  1. Clinical Training

  2. U.S. Board Certification

  3. Additional Training, Certification or Professional Development

  4. Language Skill

  5. None of the Above

Change type: Response option revision, question addition


Add:

  1. Additional Skills



What do you need to add?

  1. Additional Training, Certification or Professional Development

  2. Additional Skills

  3. None of the Above


EEP

New Section if possible - 9.9 Additional Skills

N/A

Change type: Question addition


Add question:


Computer and Statistical Software Skills:

Please select the statistical software package(s) for which you have Proficient/Skilled or Mastery/Expert competency [SELECT ALL THAT APPLY]:

Entry/Novice
- Limited capabilities
- Little or no experience

Proficient/Skilled
- Basic capabilities
- Moderate amount of experience

Mastery/Expert
- Advanced capabilities
- Extensive experience

  1. SAS

  2. STATA

  3. Epi-Info

  4. R

  5. Excel

  6. Other (specify and provide rating): [Open-ended]


All applicable programs

10.2-a

What do you want to add?

  1. Publications

  2. Presentations

  3. Grants

  4. Honor or Awards

Change type: Response option revision

Change 4. Honor or Awards to 4. Honors or Awards


EEP

11.1-a

Describe your experience related to data management and analysis, including the use of statistical software packages such as Excel, SAS, STATA, R, or Epi Info. Please provide specific examples. Note that this question will be used to assist the program with matching applicants to appropriate host sites.

Change type: Question deletion


EEP

13.3.2-a

Topic area(s):

1. Obesity, nutrition, and physical activity

2. Cancer prevention and control

3. Diabetes

4. Heart disease and stroke prevention

5. Tobacco prevention and cessation

6. Other chronic disease

7. Emergency preparedness and response

8. Asthma and air pollution

9. Environmental health

10. Immunizations/vaccine preventable disease

11. Influenza

12. HIV/AIDS or Tuberculosis

13. Viral hepatitis

14. Foodborne Disease

15. Waterborne diseases

16. Vectorborne disease

17. One Health and zoonotic disease

18. Arctic Investigations (Alaska)

19. Healthcare-associated infections

20. Quarantine and border health services

21. Unintentional injury

22. Opioid/prescription drug overdose prevention

23. Occupational health and safety

24. Violence Prevention

25. Maternal and infant health

26. Health statistics

27. State, local, and territorial health

28. Global health

29. Other:

Change type: Response option revision

Topic area(s): [SELECT ALL THAT APPLY]

(Added #13, 18, 27, 29, and 33 below" to the top of the list.)

1. Obesity, nutrition, and physical activity

2. Cancer prevention and control

3. Diabetes

4. Heart disease and stroke prevention

5. Tobacco prevention and cessation

6. Other chronic disease

7. Emergency preparedness and response

8. Asthma and air pollution

9. Environmental health

10. Immunizations/vaccine preventable disease

11. Influenza

12. HIV/AIDS, or Tuberculosis

13. STD prevention

14. Viral hepatitis

15. Foodborne diseases

16. Waterborne diseases

17. Vectorborne diseases

18. Fungal Diseases

19. One Health and zoonotic disease

20. Arctic Investigations (Alaska)

21. Healthcare-associated infections

22. Quarantine and border health services

23. Unintentional injury

24. Opioid/prescription drug overdose prevention

25. Occupational health and safety

26. Violence Prevention

27. Reproductive Health

28. Maternal and infant health

29. Blood Disorders

30. Health statistics

31. State, local, and territorial health

32. Global health

33. COVID-19

34. Other (specify)


EEP

13.3.3-a

What is your preference for the location of your project assignment? (Select all that apply)

1. CDC headquarters or Atlanta regional campuses (Atlanta, Georgia)
2. Other CDC Regional Campuses

3. Other Federal Agencies

4. State, local, or territorial health departments

Change type: Response option revision


Change to:

What is your preference for the location of your project assignment? (Select all that apply)

1. CDC headquarters or Atlanta regional campuses (Atlanta, Georgia)
2. Other CDC Regional Campuses

3. Other Federal Agencies

4. State, local, or territorial health departments

  1. CDC Country Office (Remote)


EEP

13.3.3-a

N/A

Change type: Question addition

Add new question for EEP after What is your preference for the location of your project assignment to read:

What type of work settings are you open to? (select all that apply, please note that the EEP program cannot guarantee a specific work setting):

- Remote/Full Telework

- Hybrid/Partial Telework

- In-person


EEP

13.3.3-a

Other CDC Regional Campuses (Select all that apply):

1. Anchorage, Alaska

2. Ft. Collins, Colorado

3. San Juan, Puerto Rico

4. Hyattsville, Maryland

5. Morgantown, West Virginia

6. Cincinnati, Ohio

7. Washington, DC

Change type: Response option revision

Change to:

Other CDC Regional Campuses (Select all that apply):

1. Anchorage, Alaska

2. Ft. Collins, Colorado

3. San Juan, Puerto Rico

4. Hyattsville, Maryland

5. Morgantown, West Virginia

6. Cincinnati, Ohio

7. Pittsburgh, Pennsylvania

8. Spokane, Washington

9. Denver, Colorado

10. Durham, North Carolina

11. Washington, DC

12. I am open to locations not listed above


EEP

13.3.3-a

Other Federal Agencies (Select all that apply):

  1. National Park Service (Fort Collins, Colorado)

  2. Indian Health Service (varies)

Change type: Response option revision

Change to:

Other Federal Agencies (Select all that apply):

  1. National Park Service (Fort Collins, Colorado)

  2. National Park Service (Albuquerque, New Mexico)

  3. National Park Service (Washington, DC)

  4. Indian Health Service (varies)

  5. I am open to additional federal agencies not already listed above


SAF

13.5-a

First [Second | Third] Choice Area:

1. Obesity, nutrition, and physical activity

2. Cancer prevention and control

3. Diabetes

4. Heart disease and stroke prevention

5. Tobacco prevention and cessation

6. Other chronic disease

7. Emergency preparedness and response

8. Asthma and air pollution

9. Environmental health

10. Immunizations/vaccine preventable disease

11. Influenza

12. HIV/AIDS or Tuberculosis

13. Viral hepatitis

14. Foodborne Disease

15. Waterborne diseases

16. Vectorborne disease

17. One Health and zoonotic disease

18. Arctic Investigations (Alaska)

19. Healthcare-associated infections

20. Quarantine and border health services

21. Unintentional injury

22. Opioid/prescription drug overdose prevention

23. Occupational health and safety

24. Violence Prevention

25. Maternal and infant health

26. Health statistics

27. State, local, and territorial health

28. Global health

29. Other:

Change type: Response option revision

Change to:

First [Second | Third] Choice Area:

1. Obesity, nutrition, and physical activity

2. Cancer prevention and control

3. Diabetes

4. Heart disease and stroke prevention

5. Tobacco prevention and cessation

6. Other chronic disease

7. Emergency preparedness and response

8. Asthma and air pollution

9. Environmental health

10. Immunizations/vaccine preventable disease

11. Influenza

12. HIV/AIDS, or Tuberculosis

13. STD prevention

14. Viral hepatitis

15. Foodborne diseases

16. Waterborne diseases

17. Vectorborne diseases

18. Fungal Diseases

19. One Health and zoonotic disease

20. Arctic Investigations (Alaska)

21. Healthcare-associated infections

22. Quarantine and border health services

23. Unintentional injury

24. Opioid/prescription drug overdose prevention

25. Occupational health and safety

26. Violence Prevention

27. Reproductive Health

28. Maternal and infant health

29. Blood Disorders

30. Health statistics

31. State, local, and territorial health

32. Global health

33. COVID-19

34. Other (specify)


EEP

15

Contact Information Confirmation

You can view and update your contact information in the EIS Fellowship Application Portal under Applicant Profile. We will be using this information to contact you regarding application status and match.



3.Information about this year’s Prematch sites was sent to you via email.**Expressing interest in a Prematch site does not guarantee a Prematch.**



4. Are you interested in Prematching? (Yes/No)



Please rank your interest in the following prematch sites. Be sure to review the Prematch Position Description information and book sent via email.



Dropdown for host sites with response options (0=No Interest; 1=Low Interest; 2=Moderate Interest; 3=High Interest

Change type: Response option revision


Change item to read (remove questions 3 and 4):

Contact Information Confirmation

You can view and update your contact information in the EEP Fellowship Application Portal under Applicant Profile. We will be using this information to contact you regarding application status and match.

1. The email listed on my profile form is accurate and accessible for the next 6 months. (Yes)

2. The phone number(s) listed on my profile form are accurate and accessible for the next 6 months. (Yes)


EEP

Degree List

Degree list found in appendix section of Application Module

Change type: Response option revision

Create new field for EEP (separating Undergraduate and Graduate Degree lists, with undergraduate list changed to):
AB

BA

BS

BS/BA

BSc

SB

ScB

Other


EEP

Degree List

Degree list found in appendix section of Application Module

Change type: Response option revision

Create new field for EEP (separating Undergraduate and Graduate Degree lists, with graduate list changed to):

AM

BA

DHS

DHSc

DNSc

DPH

DPhil

DrPH

DrS

DrSc

EdD

MA

MEd

MHS

MHSc

MHSE

MN

MPH

MPhil

MPHTM

MPVM

MS

MSVPH

MSc

MScPH

MSPH

MTM&H

PhD

SB

ScB

ScD

ScM

SM

Other


LLS, EIS

8.1-a Adding Work or Volunteer Experience

No instructional text.

Change type: Instructional text revision

{Instructions: Add relevant examples to explain what should be included in each section}


LLS, EIS

9.5-1. Additional Training, Certifications, or Professional Development Fields

No instructional text.

Change type: Instructional text revision

{Instructions: Add relevant examples to explain what should be included in each section}


All

  1. Field Value Tables

N/A

Change type: Response option revision

Add American Samoa to State/Territory List




Table D: Proposed Changes to the FMS Host Site Module

Attachment 2 – Host Site Module


Program

Section

Current Question/Item

Requested Change

SAF

2.1-a

Email

Change type: Question deletion



Remove for SAF

SAF

2.1-a

Password

Change type: Question deletion



Remove for SAF

EEP

6.3-1

N/A

Change type: Question addition



Add new question for EEP in this section to read:

Which type of work settings are you open to for your EEP student? (select all that apply):

- Remote/Full Telework

- Hybrid/Partial Telework

- In-person

EEP

6.9.1-a

How would you best describe the subject area covered in this position?


1. Obesity, nutrition, and physical activity
2. Cancer prevention and control

3. Diabetes

4. Heart disease and stroke prevention

5. Tobacco prevention and cessation

6. Other chronic disease

7. Emergency preparedness and response

8. Asthma and air pollution

9. Environmental health

10. Immunizations/vaccine preventable disease

11. Influenza

12. HIV/AIDS or Tuberculosis

13. Viral hepatitis

14. Foodborne Disease

15. Waterborne diseases

16. Vectorborne disease

17. One Health and zoonotic disease

18. Arctic Investigations (Alaska)

19. Healthcare-associated infections

20. Quarantine and border health services

21. Unintentional injury

22. Opioid/prescription drug overdose prevention

23. Occupational health and safety

24. Violence Prevention

25. Maternal and infant health

26. Health statistics

27. State, local, and territorial health

28. Global health

29. Other (specify)

Change type: Question revision, response option revision

How would you best describe the subject area covered in this position? Select all that apply.


Note: new additions are 13, 18, 27, 29, 33


Change options to:

1. Obesity, nutrition, and physical activity

2. Cancer prevention and control

3. Diabetes

4. Heart disease and stroke prevention

5. Tobacco prevention and cessation

6. Other chronic disease

7. Emergency preparedness and response

8. Asthma and air pollution

9. Environmental health

10. Immunizations/vaccine preventable disease

11. Influenza

12. HIV/AIDS, or Tuberculosis

13. STD prevention

14. Viral hepatitis

15. Foodborne diseases

16. Waterborne diseases

17. Vectorborne diseases

18. Fungal Diseases

19. One Health and zoonotic disease

20. Arctic Investigations (Alaska)

21. Healthcare-associated infections

22. Quarantine and border health services

23. Unintentional injury

24. Opioid/prescription drug overdose prevention

25. Occupational health and safety

26. Violence Prevention

27. Reproductive Health

28. Maternal and infant health

29. Blood Disorders

30. Health statistics

31. State, local, and territorial health

32. Global health

33. COVID-19

34. Other (specify)

EEP

6.9.1-b


Change type: Question addition


For EEP, after the Specify [project type] field, please add the following question to this section (6.9.1-b):


Do you prefer a language skill? [select one]

- Yes

- No


If select Yes, please select language [drop-down]:

  • French

  • Spanish

  • Other: [open-ended]


What level of proficiency do you prefer?

  • At least Good

  • At least Excellent

EEP

6.9.1-b


Change type: Question addition


For EEP, please add the following question to this section 6.9.1-b:



Does the host site prefer a student who has statistical software experience? [select one]

- Yes

- No

If yes, please select the statistical software package(s) [select all that apply]:



Statistical Software Skills

  • SAS

  • STATA

  • Epi-Info

  • R

  • Excel

Other: [open-ended] [If select other, open-ended]

EEP

5.3-a

and

5.3 Public Health Agency Details

Public Health Agency:


Currently missing NIOSH/Pittsburgh, PA

Change type: Response option revision


Add: NIOSH/Pittsburgh, PA

EEP

7.2-a

In what year did the supervisor start the fellowship program(s):

Change type: Question deletion


Remove for EEP.

All

  1. Field Value Tables

N/A

Change type: Response option revision


American Samoa to State/Territory List





Table E: Proposed Changes to the FMS Activity Tracking Module

Attachment 3 – Activity Tracking Module


Program

Section

Current Question/Item

Requested Change

EEP

5.2-a

Memorandum of Agreement (Required for all students):

  1. Completed

Change type: Question revision

Change to:

Handbook Acknowledgement (Required for all students):

  1. Completed

EEP

5.2-a

669A SWEP Volunteer Agreement (Required for CDC-based students):

  1. Completed

Change type: Question revision

Change to:

669A SWEP Volunteer Agreement (Required for all students):

  1. Completed

EEP

5.2-a

669C SWEP Statement of Duties Agreement (Required for CDC-based students):

  1. Completed

Change type: Question revision

Change to:


669C SWEP Statement of Duties Agreement (Required for all students):

  1. Completed

EEP

5.2-a

1438 SWEP E-QIP Initiation Form (Required for CDC-based students):

  1. Completed

Change type: Question revision

Change to:


1438 SWEP E-QIP Initiation Form (Required for all students):

  1. Completed

EEP

5.2-a

Provided your SSN to EEP Program (Required for CDC-based students):

  1. Completed

Change type: Question revision

Change to:


Provided your SSN to EEP Program (Required for all students):

  1. Completed

EEP

5.2-a

Safety Survival Skills Exam (SSS) (Required for CDC-based students):

  1. Completed

Change type: Question /response option revision

Change to:



Safety Survival Skills Exam (SSS):

  1. Completed

  2. Not applicable

EEP

5.2-a

Security Awareness Training (SAT) (Required for CDC-based students):

  1. Completed

Change type: Question /response option revision

Change to

Security Awareness Training (SAT):

  1. Completed

  2. Not applicable

EEP

5.2-a

Completed Office of Safety, Security, and Asset Management (OSSAM) regarding your personnel security background investigation (Required for CDC-based students):

  1. Completed

Change type: Question revision

Change to:

Personnel security background investigation completed by Office of Safety, Security, and Asset Management (OSSAM):

  1. Completed

  2. Not applicable

EEP

5.2-a

Fingerprinting (Required for CDC-based students):

  1. Completed

Change type: Question /response option revision

Change to:

Fingerprinting:

  1. Completed

  2. Not applicable

EEP

5.3-c

Principles of Epidemiology for Public Health Practice Course (See program handbook) (Optional for all students):

  1. Completed

Change type: Question /response option revision

Principles of Epidemiology for Public Health Practice Course (See program handbook) (Optional for all students):

  1. Completed

  2. Not applicable

EEP

5.3-c

ActivEpi Course (See program handbook) (Optional for all students):

  1. Completed

Change type: Question deletion

EEP

5.3-c

Online Public Health Ethics Course (See program handbook) (Optional for all students):

  1. Completed

Change type: Question deletion

EEP

5.3-c

Return CDC SmartCard to Supervisor (Required for CDC-based students):

  1. Completed

Change type: Response option revision



Return CDC SmartCard to Supervisor (Required for CDC-based students):

  1. Completed

  2. Not applicable

EEP

5.3-c

Return computer and all other equipment provided (Required for all students):

  1. Completed

Change type: Response option revision

Return computer and all other equipment provided:

  1. Completed

  2. Not applicable

EEP

7.1.1.1.a

N/A

Change type: Question addition

Add new question:

How would you describe your connection with other EEP students following the orientation? [MULTIPLE CHOICE] (very connected, somewhat connected, a little connected, not at all connected)

EEP

7.1.1.4.a

[SEE SCREENSHOT]

Change type: Question addition

Questions currently listed on screenshot should apply to All Students. Please combine current All Students and CDC Students Only sections into a single All Students section.

EEP

7.1.1.4.a

Did you receive your computer?

  1. Yes

  2. No

Change type: Response option revision

Change to:

Did you receive your computer?

  1. Yes

  2. No

  3. Not applicable

EEP

7.1.1.4.a

When do you expect to receive your computer?

  1. This week

  2. Next week

  3. Not sure

Change type: Response option revision

Change to:

When do you expect to receive your computer?

  1. This week

  2. Next week

  3. Not sure

  4. Not applicable

EEP

7.1.1.4.a

Did you receive your SmartCard?

  1. Yes

  2. No

Change type: Response option revision

Change to:

Did you receive your SmartCard?

  1. Yes

  2. No

  3. Not applicable

EEP

7.1.1.4.a

When do you expect to receive your SmartCard?

  1. This week

  2. Next week

  3. Not sure

Change type: Response option revision

Change to:

When do you expect to receive your SmartCard?

  1. This week

  2. Next week

  3. Not sure

  4. Not applicable

EEP

7.1.1.4.a

N/A

Change type: Instructional text revision

Below “Please confirm that the email provided in your Profile is current and permanent,” add a new section for “Orientation Travel”. This section should only be completed by students not based in Atlanta for EEP.

EEP

7.1.1.4.a

N/A

Change type: Question addition

In Orientation Travel section, add:

What went well during the travel planning process? [OPEN ENDED]

EEP

7.1.1.4.a

N/A

Change type: Question addition

In Orientation Travel section, add:

Please describe what could be improved for future EEP students traveling to and staying in Atlanta during orientation. [OPEN ENDED]

EEP

7.1.1.4.a

N/A

Change type: Question addition

In Orientation Travel section, add:

What challenges, if any, did you experience traveling to Atlanta for orientation? [OPEN ENDED]

EEP

7.1.1.4.a

N/A

Change type: Question addition

In Orientation Travel section, add:

What do you recommend to improve the travel and lodging process for EEP students traveling for orientation in the future? [OPEN ENDED]

EEP

7.1.2.1.f

What did your supervisor do to enhance your EEP experience? (Select all that apply)

1. Discussed my assignment with me before starting the program
2. Provided an overview of CDC and how our Center/Division fits into CDC’s mission
3. Met with me each week to provide any feedback
4. Connected me with other professionals
5. Facilitated my participation in professional or educational activities within CDC
6. Other

Change type: Response option revision

Change to:

What did your supervisor do to enhance your EEP experience? (Select all that apply)

  1. Discussed my assignment with me before starting the program

  2. Provided an overview of CDC and how our Center/Division fits into CDC’s mission

  3. Provided an overview of organization and how our work fits into a public health mission

  4. Met with me each week to provide any feedback

  5. Connected me with other professionals

  6. Facilitated my participation in professional or educational activities within CDC

  7. Other

EEP

7.1.2.1.f

N/A

Change type: Question addition

Add:

I received adequate support from my host site supervisor to complete my projects. (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree)

EEP

7.1.2.1.f

N/A

Change type: Question addition

Add:

Overall, I was satisfied with the guidance I received from my host site for my projects. (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree)

EEP

7.1.2.1.f

N/A

Change type: Question addition

Add:

My supervisor provided me with resources to help me complete my project(s). (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree)

EEP

7.1.2.1.f

N/A

Change type: Question addition

Add:

My supervisor provided me with timely feedback on my work. (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree)

EEP

7.1.2.1.f

N/A

Change type: Question addition

Add:

Overall, I was satisfied with the mentorship I received at my host site. (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree)

EEP

7.1.2.1.g

Did you assist in a field investigation (e.g., an Epi-Aid)?

Change type: Question addition

Change to:

Did you assist in a public health response activity (e.g., an Epi-Aid, EOC deployment, field investigation, other large-scale response, or similar)?

EEP

7.1.2.1.g

N/A

Change type: Question addition

Add new question for EEP:

Which type(s) of public health response activities did you participate in? Select all that apply:

  • Epi-Aid

  • CDC Emergency Operations Center (EOC) deployment

  • State, tribal, local, or territorial field investigation within your host site jurisdiction

  • Other field investigation/field deployment

  • Other: [DESCRIBE]

EEP

7.1.2.1.g

What CDC Center/Institute/Office conducted the field investigation (e.g., Epi-Aid)? (Select all that apply)

Change type: Question revision

Change question to:

Which CDC Center/Institute/Office(s) did you support during your public health response activity (e.g., an Epi-Aid, EOC deployment, field investigation, other large-scale response, or similar)? (Select all that apply)

EEP

7.1.2.1.g

What CDC Center/Institute/Office conducted the field investigation (e.g., Epi-Aid)? (Select all that apply)

Change type: Response option revision

Change values to allow EEP student to select from the Center/Division/Branch Lookup OR choose one of the following options:

  • Other

  • N/A

EEP

7.1.2.1.h

Briefly describe your responsibilities in the field investigation (e.g., Epi Aid):

Change type: Question revision

Change to:

Briefly describe your responsibilities in the public health response activity (e.g., an Epi-Aid, EOC deployment, field investigation, other large-scale response, or similar):

EEP

7.1.2.1.h

Participation in a field investigation (e.g., Epi-Aid) increased my understanding of public health concepts through hands-on experience.

Change type: Question revision

Change to:

Participation in a public health response activity (e.g., an Epi-Aid, EOC deployment, field investigation, other large-scale response, or similar) increased my understanding of public health concepts through hands-on experience.

EEP

7.1.2.1.h

Participation in a field investigation (e.g., Epi-Aid) increased my interest in pursuing a public health career.

Change type: Question revision

Change to:

Participation in a public health response activity (e.g., an Epi-Aid, EOC deployment, field investigation, other large-scale response, or similar) increased my interest in pursuing a public health career.

EEP

7.1.2.1.h

Participation in a field investigation (e.g, Epi-Aid) connected me with additional public health professionals.

Change type: Question revision

Change to:

Participation in a public health response activity (e.g., an Epi-Aid, EOC deployment, field investigation, other large-scale response, or similar) connected me with additional public health professionals.

EEP

7.1.2.3.a

N/A

Change type: Question addition

Add [for all students]:

Overall, I am satisfied with my host site experience. (Strongly disagree, disagree, neither agree nor disagree, agree, strongly agree)

EEP

7.1.2.3.a

N/A

Change type: Question addition

Add [for all students]:

What were the most valuable parts of your host site experience? [OPEN-ENDED]

EEP

7.1.2.3.a

N/A

Change type: Question addition

Add [for all students]:

What were the most challenging parts of your host site experience? [OPEN-ENDED]

SAF

7.2.1.1.a

3. In the past school year, which resource(s) did you use to teach public health? (Select all that apply)

1. N/A
2. CDC Science Ambassador Fellowship Lesson Plans/Activities
3. CDC Website
4. Other Lesson Plans/Activities (e.g., Young Epidemiology Scholars Lesson Plans) or Websites (e.g., Medical Detectives). Please provide at least 1-2 examples:

Change type: Response option revision

Change to:

  1. In the past school year, which resource(s) did you use to teach public health? (Select all that apply)



  1. N/A

  2. CDC Science Ambassador Fellowship Lesson Plans/Activities

  3. CDC NERD Academy

  4. CDC Website

  5. Other Lesson Plans/Activities Other Lesson Plans/Activities (e.g., Young Epidemiology Scholars Lesson Plans) or Websites (e.g., Medical Detectives). Please provide at least 1-2 examples:

SAF

7.2.1.1.a

4. In the upcoming school year, do you plan to teach an entire course related to public health?

1. Yes, I plan to in the next year.
2. No, but I plan to in the future.
3. No, but I plan to incorporate public health into my current course.
4. None of the above.

Change type: Response option revision

Change to:

4. In the upcoming school year, do you plan to teach an entire course related to public health?

1. Yes, I plan to in the next year.
2. No, but I plan to in the future.
3. No, but I plan to incorporate public health into my current course.
4. No, and I do not plan to incorporate public health into my current course.

5. N/A

SAF

8.1.2.a


Change type: Question deletion

Remove section 8.1.2.a from SAF Activity Tracking module

SAF

8.2.3.a


Change type: Question deletion

Remove section 8.2.3.a from SAF Activity Tracking module

SAF

8.3.2.a


Change type: Question deletion

Remove section 8.3.2.a from SAF Activity Tracking module

SAF

8.4.2.b


Change type: Question deletion

Remove section 8.4.2.b from SAF Activity Tracking module

SAF

8.6.2.b


Change type: Question deletion

Remove section 8.6.2.b from SAF Activity Tracking module

EIS

8.6.2.a Activity Review Fields

N/A

Change type: Question addition

On a scale of 1-5 where 1=very poor and 5=excellent, please rate the overall quality of the this activity or its associated deliverables/products.  

  • 1=very poor

  • 2=poor

  • 3=fair

  • 4=good

  • 5=excellent

All

  1. Field Value Tables

N/A

Change type: Response option revision

American Samoa to State/Territory List





16


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