Science Ambassador Fellowship (SAF) Alumni Survey (2023)

[CSELS] Data Collection for CDC Fellowship Programs

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Att_1_0920-1163_2023_CDC SAF Alumni Survey.docx Other-WORD
Att_3_0920_1163_2023_SAF Alumni Survey_Invitation Email.docx Other-Email
Att_4_0920_1163_2023_SAF Alumni Survey_Reminder Email.docx Other-Email
0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey Att_2_0920-1163_2023_CDC SAF Alumni Survey Screenshots.docx Form and Instruction
GenIC Request Template_2023 SAF Alumni Survey.docx Request for Approval under the “Generic Clearance for CDC Fellowship Programs Assessments IC Document
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf STARS Determination IC Document

Information Collection (IC) Details

IC Title:	Science Ambassador Fellowship (SAF) Alumni Survey (2023)	Agency IC Tracking Number:	0920-1163-24BC

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att_1_0920-1163_2023_CDC SAF Alumni Survey.docx	No		Paper Only
Form and Instruction	0920-1163	Science Ambassador Fellowship (SAF) Alumni Survey	Att_2_0920-1163_2023_CDC SAF Alumni Survey Screenshots.docx	Yes	Yes	Fillable Fileable
Other-Email			Att_3_0920_1163_2023_SAF Alumni Survey_Invitation Email.docx	No		Printable Only
Other-Email			Att_4_0920_1163_2023_SAF Alumni Survey_Reminder Email.docx	No		Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval under the “Generic Clearance for CDC Fellowship Programs Assessments	GenIC Request Template_2023 SAF Alumni Survey.docx	11/13/2023
STARS Determination	Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf	11/13/2023

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