Information Collection

Science Ambassador Fellowship (SAF) Alumni Survey (2023)

IC 263321 under ICR 202211-0920-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the âGeneric 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.