Information Collection Request
[PHIC]The Division of Workforce Development (DWD) Fellowship Alumni Assessment
ICR 202402-0920-007 · OMB 0920-1078 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1078 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-1078 SAF Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 PHAP Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 PHIFP Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 PE Fellowship Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 FLIGHT Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 EIS/LLS Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 EFP Alumni |
Form and Instruction | New | Repair queued |
| Form 0920-1078 EEP Alumni Survey |
Form and Instruction | New | Repair queued |
| PHAP Alumni Survey |
Form and Instruction | Removed | Repair queued |
| PHAP Host Site Supervisor Survey |
Form and Instruction | Removed | Repair queued |
 Att N_Acronym List.docx |
Supplementary Document | Uploaded 2024-02-16 | Missing upstream |
| Att M_Privacy Act Checklist.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att L-2_SAF Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att L-1_SAF Invitation Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att K-2_PHAP Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att K-1_PHAP Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att J-2_PHIFP Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att J-1_PHIFP Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att I-2_PE Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att I-1_PE Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att H-2_FLIGHT Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att H-1_FLIGHT Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att G-2_EIS-LLS Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att G-1_EIS-LLS Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att F-2_EFP Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att F-1_EFP Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att E-2_EEP Reminder Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att E-1_EEP Initial Email.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att D_Alumni Survey Screen Shots.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Att A_Public Health Service Act.docx |
Supplementary Document | Uploaded 2024-02-16 | Repair queued |
| Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment M_PHAP Alumni Survey Reminder Email-FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment J_PHAP Host Site Supervisor Survey Final Reminder_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment I_PHAP Host Site Supervisor Survey Second Reminder Email_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment H_PHAP Host Site Supervisor Survey Reminder Email_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
 Attachment D_Published 60 day_11022020.pdf |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| Attachment A_Public Health Service Act_FINAL.docx |
Supplementary Document | Uploaded 2020-12-01 | Repair queued |
| DWD Alumni Survey ICR- Statement B Revision.docx |
Supporting Statement B | Uploaded 2024-02-16 | Repair queued |
| DWD Alumni ICR- Statement A Revision.docx |
Supporting Statement A | Uploaded 2024-02-16 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 265458 |  SAF Alumni |
Form and Instruction | New | |
| 265457 | PHAP Alumni |
Form and Instruction | New | |
| 265456 | PHIFP Alumni |
Form and Instruction | New | |
| 265455 | PE Fellowship Alumni |
Form and Instruction | New | |
| 265454 | FLIGHT Alumni |
Form and Instruction | New | |
| 265453 | EIS/LLS Alumni |
Form and Instruction | New | |
| 265452 | EFP Alumni |
Form and Instruction | New | |
| 265415 | EEP Alumni Survey |
Form and Instruction | New | |
| 229893 | PHAP Alumni Survey |
Form and Instruction | Removed | |
| 229891 | PHAP Host Site Supervisor Survey |
Form and Instruction | Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1078 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202010-0920-018 |
| Agency Tracking No | 0920-1078 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |