Information Collection

[PHIC] 2025 CDC Science Ambassador Fellowship (SAF) Exit Survey

IC 275292 under ICR 202504-0920-025 · 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⚠️ Notice: This information collection may be referencing outdated material.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
2025 SAF Exit Survey [PHIC] 2025 CDC Science Ambassador Fellowship (SAF) Exit Survey	Form and Instruction
2025 SAF Exit Survey Att_1_2025_SAF ExSurv.docx	Form and Instruction
Att_2_2025_SAF ExSurv Scr.docx 2025 SAF Exit Survey Screenshots	IC Document
Att_3_2025_SAF ExSurv_Inv Em.docx Invitation Email	IC Document
Att_4_2025_SAF ExSurv_Rem Em.docx Reminder Email	IC Document
GenIC Request_2025 SAF ExSurv.docx GenIC Request Template	IC Document

IC Title:

[PHIC] 2025 CDC Science Ambassador Fellowship (SAF) Exit Survey

Agency IC Tracking Number:

0920-25-0117

IC Status: New

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				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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].