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PE Fellowship Alumni
[PHIC]The Division of Workforce Development (DWD) Fellowship Alumni Assessment
OMB: 0920-1078
IC ID: 265455
OMB.report
HHS/CDC
OMB 0920-1078
ICR 202402-0920-007
IC 265455
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1078 can be found here:
2024-08-29 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-1078
PE Fellowship Alumni
Form and Instruction
0920-1078 Att I_PE Alumni Survey
Att I_PE Alumni Survey.pdf
Form and Instruction
0920-1078 Att I_PE Alumni Survey
Att I_PE Alumni Survey.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PE Fellowship Alumni
Agency IC Tracking Number:
0920-1078
Is this a Common Form?
Yes
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-1078
Att I_PE Alumni Survey
Att I_PE Alumni Survey.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
25
0
25
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.