Information Collection

Science Ambassador Fellowship (SAF) Alumni Survey (2023)

IC 263321 under ICR 202411-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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_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_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
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
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
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
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: Unchanged

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
	Requested	Previously Approved
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.