Information Collection Request

[PHIC] Data Collection for CDC Fellowship Programs

ICR 202504-0920-025 · OMB 0920-1163 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1163 PHAP Program Separation Survey Form and Instruction New Repair queued
Form 0920-25-0163 PHAP HHS NGO Form New Repair queued
PHAP Host Site Supervisor Survey Form and Instruction New Repair queued
Form 0920-25-0146 EIS Survey Form New Repair queued
Form 0920-25-0146 LLS Survey Form New Repair queued
Form 0920-25-0007 2025 EIS Sup Ex Surv Form New Repair queued
Form 0920-25-0007 2025 EIS Sup Surv Form New Repair queued
2025 SAF Exit Survey Form and Instruction New Repair queued
Form 0920-25-0006 Att_5_2025 LLS Sup ExSurv Form Unchanged Available
Form 0920-25-0006 Att_1_2025 LLS Sup Surv Form Unchanged Available
Form 0920-25-0006 [PHIC] 2025 LLS Host Site Survey Form Unchanged Repair queued
Form 0920-1163 2025 EEP Supervisor Evaluation of Student and Program Survey Form and Instruction Unchanged Repair queued
Form 0920-1163 [PHIC] 2025 EEP Supervisor Survey Form and Instruction Unchanged Missing upstream
2024 CDC SAF Summer Course Survey Form and Instruction Unchanged Available
[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey Form and Instruction Unchanged Missing upstream
Form 0920-24GG 2024 LLS Supervisor Exit Survey Form Unchanged Available
Form 0920-24GG LLS Supervisor Survey Form Unchanged Available
Form 0920-24GG [PHIC] LLS supervisor surveys Form Unchanged Missing upstream
Form 0920-24GH 2024 EIS Supervisor Exit Survey Form Unchanged Repair queued
Form 0920-24GH 2024 EIS Supervisor Survey Form Unchanged Repair queued
Form 0920-24GH [PHIC] EIS supervisor surveys Form Unchanged Repair queued
Form 0920-1163 2024 CDC SAF Focus Group Availability Form and Instruction Unchanged Available
Form 0920-1163 2024 CDC Science Ambassador Fellowship Exit Survey Form and Instruction Unchanged Available
Form 0920-1163 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction Unchanged Missing upstream
Form 0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey Form and Instruction Unchanged Available
Form 0920-1163 [PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction Unchanged Repair queued
Form 0920-1163 [Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey Form and Instruction Unchanged Available
Form 0920-1163 [PHIC] EIS LLS alumni survey 2023 Form and Instruction Unchanged Repair queued
EEP Alumni Survey Form and Instruction Unchanged Available
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Form and Instruction Unchanged Available
Form 0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey Form and Instruction Unchanged Available
0920-1163 EO CR Memo_04182025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-25 Available
0920-1163 EO CR Memo_04182025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-25 Repair queued
Justification_11082024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-13 Available
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 Available
Research Determination Memorandum_ CDC Fellowship Programs Assessments.pdf Supplementary Document Uploaded 2022-11-22 Missing upstream
Att 6 - Public Comment.pdf Supplementary Document Uploaded 2022-11-22 Available
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 Available
Att 4 - Published 60-Day FRN.pdf Supplementary Document Uploaded 2022-11-22 Missing upstream
0920-1163_SSB EO CR_cl.docx Supporting Statement B Uploaded 2025-04-25 Available
0920-1163_SSB EO CR_cl.docx Supporting Statement B Uploaded 2025-04-25 Missing upstream
0920-1163_SSA EO CR_cl.docx Supporting Statement A Uploaded 2025-04-25 Available
0920-1163_SSA EO CR_cl.docx Supporting Statement A Uploaded 2025-04-25 Repair queued
Att 5 - SORN 09-20-0161.pdf Supplementary Document Uploaded 2020-01-28 Available
Att 5 - SORN 09-20-0161.pdf Supplementary Document Uploaded 2020-01-28 Missing upstream
Att3b-GenIC Request Template 2024_clean.docx Supplementary Document Uploaded 2024-11-13 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 Available
Att 2 - List of Fellowships.docx Supplementary Document Uploaded 2020-01-28 Available
Att 1 - Authorizing Legislation.pdf Supplementary Document Uploaded 2020-01-28 Available
Att 1 - Authorizing Legislation.pdf Supplementary Document Uploaded 2020-01-28 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
277461 [PHIC] 2025 PHAP Program Separation Survey Form and Instruction NewPHAP Program Separation Survey
277359 [PHIC] 2025 PHAP Host Site Supervisor Survey (NGO) Form NewPHAP HHS NGO
277352 [PHIC] 2025 PHAP Host Site Supervisor Survey (STLT) Form and Instruction NewPHAP Host Site Supervisor Survey
276652 [PHIC] 2025 eFMS Applicant Survey Form NewEIS Survey
276652 [PHIC] 2025 eFMS Applicant Survey Form NewLLS Survey
275623 [PHIC] 2025 EIS Supervisor and Ext Survey Form New2025 EIS Sup Ex Surv
275623 [PHIC] 2025 EIS Supervisor and Ext Survey Form New2025 EIS Sup Surv
275292 [PHIC] 2025 CDC Science Ambassador Fellowship (SAF) Exit Survey Form and Instruction New2025 SAF Exit Survey
274473 [PHIC] 2025 LLS Host Site Survey Form UnchangedAtt_5_2025 LLS Sup ExSurv
274473 [PHIC] 2025 LLS Host Site Survey Form UnchangedAtt_1_2025 LLS Sup Surv
274473 [PHIC] 2025 LLS Host Site Survey Form Unchanged
273939 [PHIC] 2025 EEP Supervisor Survey Form and Instruction Unchanged2025 EEP Supervisor Evaluation of Student and Program Survey
273939 [PHIC] 2025 EEP Supervisor Survey Form and Instruction Unchanged
269124 [PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey Form and Instruction Unchanged2024 CDC SAF Summer Course Survey
269124 [PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey Form and Instruction Unchanged
268339 [PHIC] LLS supervisor surveys Form Unchanged2024 LLS Supervisor Exit Survey
268339 [PHIC] LLS supervisor surveys Form UnchangedLLS Supervisor Survey
268339 [PHIC] LLS supervisor surveys Form Unchanged
268338 [PHIC] EIS supervisor surveys Form Unchanged2024 EIS Supervisor Exit Survey
268338 [PHIC] EIS supervisor surveys Form Unchanged2024 EIS Supervisor Survey
268338 [PHIC] EIS supervisor surveys Form Unchanged
268316 [PHIC] SAF Exit Survey and Focus Groups Instruction Unchanged
268316 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction Unchanged2024 CDC SAF Focus Group Availability
268316 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction Unchanged2024 CDC Science Ambassador Fellowship Exit Survey
268316 [PHIC] SAF Exit Survey and Focus Groups Form and Instruction Unchanged
263620 [PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction UnchangedScience Ambassador Fellowship (SAF) Alumni Survey
263620 [PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction Unchanged
263499 [PHIC] EIS LLS alumni survey 2023 Other-Screenshots Unchanged
263499 [PHIC] EIS LLS alumni survey 2023 Form and Instruction Unchanged[Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey
263499 [PHIC] EIS LLS alumni survey 2023 Form and Instruction Unchanged
263379 [PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Other-Screenshot Unchanged
263379 [PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Form and Instruction UnchangedEEP Alumni Survey
263379 [PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) Form and Instruction Unchanged
263321 Science Ambassador Fellowship (SAF) Alumni Survey (2023) Form and Instruction UnchangedScience Ambassador Fellowship (SAF) Alumni Survey
263321 Science Ambassador Fellowship (SAF) Alumni Survey (2023) Other-WORD Unchanged
ICR Details
0920-1163 202504-0920-025
Historical Active 202411-0920-004
HHS/CDC 0920-25-0103
[PHIC] Data Collection for CDC Fellowship Programs
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/09/2025
Retrieve Notice of Action (NOA) 05/01/2025
  Inventory as of this Action Requested Previously Approved
02/28/2026 02/28/2026 02/28/2026
9,273 0 9,273
4,638 0 4,638
171,645 0 171,645

The intended use of data collected is to inform the planning, implementation, and continuous quality improvement of CDC Fellowship Programs. Data collection methods include focus groups, interviews, and surveys, using both purposive and probabilistic samples. Respondent populations include potential applicants, fellows, alumni, supervisors, mentors, and employers of alumni. Data will be analyzed relative to the data collection methods and purpose. The Change Request contains minor changes and adheres to recent executive orders.

US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  
None

Not associated with rulemaking

  87 FR 51427 08/22/2022
87 FR 70827 11/21/2022
Yes

16
IC Title Form No. Form Name
Science Ambassador Fellowship (SAF) Alumni Survey (2023) 0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey
[PHIC] 2024 CDC Science Ambassador Fellowship Summer Course Survey n/a 2024 CDC SAF Summer Course Survey
[PHIC] 2025 CDC Science Ambassador Fellowship (SAF) Exit Survey n/a 2025 SAF Exit Survey
[PHIC] 2025 EEP Supervisor Survey 0920-1163 2025 EEP Supervisor Evaluation of Student and Program Survey
[PHIC] 2025 EIS Supervisor and Ext Survey 0920-25-0007, 0920-25-0007 2025 EIS Sup Surv ,   2025 EIS Sup Ex Surv
[PHIC] 2025 LLS Host Site Survey 0920-25-0006, 0920-25-0006 Att_1_2025 LLS Sup Surv ,   Att_5_2025 LLS Sup ExSurv
[PHIC] 2025 PHAP Host Site Supervisor Survey (NGO) 0920-25-0163 PHAP HHS NGO
[PHIC] 2025 PHAP Host Site Supervisor Survey (STLT) n/a PHAP Host Site Supervisor Survey
[PHIC] 2025 PHAP Program Separation Survey 0920-1163 PHAP Program Separation Survey
[PHIC] 2025 eFMS Applicant Survey 0920-25-0146, 0920-25-0146 LLS Survey ,   EIS Survey
[PHIC] EIS LLS alumni survey 2023 0920-1163 [Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey
[PHIC] EIS supervisor surveys 0920-24GH, 0920-24GH 2024 EIS Supervisor Survey ,   2024 EIS Supervisor Exit Survey
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023) n/a EEP Alumni Survey
[PHIC] LLS supervisor surveys 0920-24GG, 0920-24GG LLS Supervisor Survey ,   2024 LLS Supervisor Exit Survey
[PHIC] SAF Exit Survey and Focus Groups 0920-1163, 0920-1163 2024 CDC Science Ambassador Fellowship Exit Survey ,   2024 CDC SAF Focus Group Availability
[PHIC] Science Ambassador Fellowship (SAF) Alumni Survey (2023) 0920-1163 Science Ambassador Fellowship (SAF) Alumni Survey

  Total Approved 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
No
No
Decrease in Burden Hours is due to a reduction in expected number of GenIC submissions annually based on usage rates over the most recent approval period.

$77,441
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Kevin Joyce 404 639-1944 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/01/2025