Information Collection Request

[PHIC] Data Collection for CDC Fellowship Programs

ICR 202411-0920-004 · OMB 0920-1163 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey Form and Instruction Unchanged Missing upstream
Form 0920-24GG [PHIC] LLS supervisor surveys Form Unchanged Repair queued
Form 0920-24GH [PHIC] EIS supervisor surveys Form Unchanged Repair queued
Form 0920-1163 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction Unchanged Repair queued
Form 0920-1163 [PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction Unchanged Repair queued
Form 0920-1163 [PHIC] EIS LLS alumni survey 2023 Form and Instruction Unchanged Repair queued
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Form and Instruction Unchanged Repair queued
Justification_11082024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-13 Repair queued
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
Att 5 - SORN 09-20-0161.pdf Supplementary Document Uploaded 2020-01-28 Repair queued
Att3b-GenIC Request Template 2024_clean.docx Supplementary Document Uploaded 2024-11-13 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 Unchanged
268339 [PHIC] LLS supervisor surveys Form Unchanged
268338 [PHIC] EIS supervisor surveys Form Unchanged
268316 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction Unchanged
263620 [PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction Unchanged
263499 [PHIC] EIS LLS alumni survey 2023 Form and Instruction Unchanged
263379 [PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Form and Instruction Unchanged
263321 Science Ambassador Fellowship (SAF) Alumni Survey (2023) Other-WORD Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
02/28/2026 02/28/2026
9,273 9,273
4,638 4,638
171,645 171,645





table that charts list of burden
  Total Request 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 9,273 0 0 0 0
Annual Time Burden (Hours) 4,638 4,638 0 0 0 0
Annual Cost Burden (Dollars) 171,645 171,645 0 0 0 0


Reginfo record details
  No