Information Collection Request

[CSELS] Data Collection for CDC Fellowship Programs

ICR 202211-0920-007 · OMB 0920-1163 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2024 CDC SAF Summer Course Survey Form and Instruction New Repair queued
Form 0920-24GG 2024 LLS Supervisor Exit Survey Form New Repair queued
Form 0920-24GG LLS Supervisor Survey Form New Repair queued
Form 0920-24GH 2024 EIS Supervisor Exit Survey Form New Repair queued
Form 0920-24GH 2024 EIS Supervisor Survey Form New Repair queued
Form 0920-1163 2024 CDC SAF Focus Group Availability Form and Instruction New Repair queued
Form 0920-1163 2024 CDC Science Ambassador Fellowship Exit Survey Form and Instruction New Repair queued
Form 0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey Form and Instruction New Repair queued
Form 0920-1163 [Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey Form and Instruction New Repair queued
EEP Alumni Survey Form and Instruction New Available
Form 0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey Form and Instruction New Available
Research Determination Memorandum_ CDC Fellowship Programs Assessments.pdf Supplementary Document Uploaded 2022-11-22 Repair queued
Att 6 - Public Comment.pdf Supplementary Document Uploaded 2022-11-22 Repair queued
Att 4 - Published 60-Day FRN.pdf Supplementary Document Uploaded 2022-11-22 Repair queued
SSB_CDC Fellowship Program Assessments 2022 Extension_FINAL.docx Supporting Statement B Uploaded 2022-11-22 Repair queued
SSA_CDC Fellowship Program Assessments 2022 Extension_FINAL.docx Supporting Statement A Uploaded 2022-11-22 Repair queued
Nonsubstantial change request OMB CUPS Assessment.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-11-15 Repair queued
Att 5 - SORN 09-20-0161.pdf Supplementary Document Uploaded 2020-01-28 Repair queued
Att 3 - GenIC Template.docx Supplementary Document Uploaded 2020-01-28 Repair queued
Att 2 - List of Fellowships.docx Supplementary Document Uploaded 2020-01-28 Repair queued
Att 1 - Authorizing Legislation.pdf Supplementary Document Uploaded 2020-01-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
269124 [PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey Form and Instruction New2024 CDC SAF Summer Course Survey
268339 [PHIC] LLS supervisor surveys Form New2024 LLS Supervisor Exit Survey
268339 [PHIC] LLS supervisor surveys Form NewLLS Supervisor Survey
268338 [PHIC] EIS supervisor surveys Form New2024 EIS Supervisor Exit Survey
268338 [PHIC] EIS supervisor surveys Form New2024 EIS Supervisor Survey
268316 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction New2024 CDC SAF Focus Group Availability
268316 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction New2024 CDC Science Ambassador Fellowship Exit Survey
268316 [PHIC] SAF Exit Survey and Focus Groups Instruction New
263620 [PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction NewScience Ambassador Fellowship (SAF) Alumni Survey
263499 [PHIC] EIS LLS alumni survey 2023 Form and Instruction New[Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey
263499 [PHIC] EIS LLS alumni survey 2023 Other-Screenshots New
263379 [PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Form and Instruction NewEEP Alumni Survey
263379 [PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Other-Screenshot New
263321 Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction NewScience Ambassador Fellowship (SAF) Alumni Survey
263321 Science Ambassador Fellowship (SAF) Alumni Survey (2023) Other-WORD New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2026 36 Months From Approved 03/31/2023
9,273 0 17,742
4,638 0 8,871
171,645 0 286,748





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
Science Ambassador Fellowship (SAF) Alumni Survey (2023) 0920-1163
[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey n/a
[PHIC] EIS LLS alumni survey 2023 0920-1163
[PHIC] EIS supervisor surveys 0920-24GH, 0920-24GH ,  
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) n/a
[PHIC] LLS supervisor surveys 0920-24GG, 0920-24GG ,  
[PHIC] SAF Exit Survey and Focus Groups 0920-1163, 0920-1163 ,  
[PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) 0920-1163

table that charts list 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 9,273 17,742 0 -8,469 0 0
Annual Time Burden (Hours) 4,638 8,871 0 -4,233 0 0
Annual Cost Burden (Dollars) 171,645 286,748 0 -115,103 0 0


Reginfo record details
  No