Information Collection

[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey

IC 269124 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⚠️ Notice: This information collection may be referencing outdated material.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
[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey	Form and Instruction
2024 CDC SAF Summer Course Survey Att_1_2024 SAF SCS.docx	Form and Instruction
2024 CDC SAF Summer Course Survey Att_1_2024 SAF SCS.docx	Form and Instruction
Att_2_2024 SAF SCS Screenshots.docx 2024 CDC SAF Summer Course Survey Screenshots	IC Document
Att_2_2024 SAF SCS Screenshots.docx 2024 CDC SAF Summer Course Survey Screenshots	IC Document
Att_3_2024 SAF SCS_Inv_Email.docx Invitation Email	IC Document
Att_3_2024 SAF SCS_Inv_Email.docx Invitation Email	IC Document
Att_4_2024 SAF SCS_Re_Email.docx Reminder Email	IC Document
Att_4_2024 SAF SCS_Re_Email.docx Reminder Email	IC Document
Att_5_2024 SAF SCS STARS PD.pdf Research Determination	IC Document
Att_5_2024 SAF SCS STARS PD.pdf Research Determination	IC Document
Bullet Points_2024 SAF SCS.docx Summary Info	IC Document
Bullet Points_2024 SAF SCS.docx Summary Info	IC Document
GenIC Request_2024 SAF SCS_final.docx GenIC Request Template	IC Document
GenIC Request_2024 SAF SCS_final.docx GenIC Request Template	IC Document

IC Title:

[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey

Agency IC Tracking Number:

0920-1163-24HG

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	2024 CDC SAF Summer Course Survey	Att_1_2024 SAF SCS.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26

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	26	26
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2024 CDC SAF Summer Course Survey Screenshots	Att_2_2024 SAF SCS Screenshots.docx	07/03/2024
Invitation Email	Att_3_2024 SAF SCS_Inv_Email.docx	07/03/2024
Reminder Email	Att_4_2024 SAF SCS_Re_Email.docx	07/03/2024
Research Determination	Att_5_2024 SAF SCS STARS PD.pdf	07/03/2024
Summary Info	Bullet Points_2024 SAF SCS.docx	07/03/2024
GenIC Request Template	GenIC Request_2024 SAF SCS_final.docx	07/03/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.