[PHIC]The Division of Workforce Development (DWD) Fellowship Alumni Assessment

OMB 0920-1078

This information collection request (ICR) is to gain three-year approval to follow alumni career progression following participation in the Public Health Associate Program (PHAP). Information will be used to answer key program assessment questions, specifically to inform program improvements and document evidence of outcomes and impact to inform future decision making. The method that will be used to collect data will be through an online assessment. The subpopulation to be studied is PHAP Host Site Supervisors and PHAP Alumni. The revision includes the following adjustments: 1) Expansion from one data collection instrument to two, both of which will inform improvements to the Public Health Associate Program (PHAP) and document evidence of quality and value. 2) Name change to reflect this adjustment from “Public Health Associate Program (PHAP) Alumni Assessment” to “Public Health Associate Program (PHAP): Assessment of Quality and Value.”

The latest form for [PHIC]The Division of Workforce Development (DWD) Fellowship Alumni Assessment expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1078 SAF Alumni Form and Instruction
Form 0920-1078 PHAP Alumni Form and Instruction
Form 0920-1078 PHIFP Alumni Form and Instruction
Form 0920-1078 PE Fellowship Alumni Form and Instruction
Form 0920-1078 FLIGHT Alumni Form and Instruction
Form 0920-1078 EIS/LLS Alumni Form and Instruction
Form 0920-1078 EFP Alumni Form and Instruction
Form 0920-1078 EEP Alumni Survey Form and Instruction
PHAP Alumni Survey Form and Instruction
PHAP Host Site Supervisor Survey Form and Instruction
Att N_Acronym List.docx Supplementary Document
Att M_Privacy Act Checklist.docx Supplementary Document
Att L-2_SAF Reminder Email.docx Supplementary Document
Att L-1_SAF Invitation Email.docx Supplementary Document
Att K-2_PHAP Reminder Email.docx Supplementary Document
Att K-1_PHAP Initial Email.docx Supplementary Document
Att J-2_PHIFP Reminder Email.docx Supplementary Document
Att J-1_PHIFP Initial Email.docx Supplementary Document
Att I-2_PE Reminder Email.docx Supplementary Document
Att I-1_PE Initial Email.docx Supplementary Document
Att H-2_FLIGHT Reminder Email.docx Supplementary Document
Att H-1_FLIGHT Initial Email.docx Supplementary Document
Att G-2_EIS-LLS Reminder Email.docx Supplementary Document
Att G-1_EIS-LLS Initial Email.docx Supplementary Document
Att F-2_EFP Reminder Email.docx Supplementary Document
Att F-1_EFP Initial Email.docx Supplementary Document
Att E-2_EEP Reminder Email.docx Supplementary Document
Att E-1_EEP Initial Email.docx Supplementary Document
Att D_Alumni Survey Screen Shots.docx Supplementary Document
Att A_Public Health Service Act.docx Supplementary Document
Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docx Supplementary Document
Attachment M_PHAP Alumni Survey Reminder Email-FINAL.docx Supplementary Document
Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docx Supplementary Document
Attachment J_PHAP Host Site Supervisor Survey Final Reminder_FINAL.docx Supplementary Document
Attachment I_PHAP Host Site Supervisor Survey Second Reminder Email_FINAL.docx Supplementary Document
Attachment H_PHAP Host Site Supervisor Survey Reminder Email_FINAL.docx Supplementary Document
Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docx Supplementary Document
Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docx Supplementary Document
Attachment D_Published 60 day_11022020.pdf Supplementary Document
Attachment A_Public Health Service Act_FINAL.docx Supplementary Document
DWD Alumni Survey ICR- Statement B Revision.docx Supporting Statement B
DWD Alumni ICR- Statement A Revision.docx Supporting Statement A
SAF Alumni Form and Instruction
PHAP Alumni Form and Instruction
PHIFP Alumni Form and Instruction
PE Fellowship Alumni Form and Instruction
FLIGHT Alumni Form and Instruction
EIS/LLS Alumni Form and Instruction
EFP Alumni Form and Instruction
EEP Alumni Survey Form and Instruction
PHAP Alumni Survey Form and Instruction
PHAP Host Site Supervisor Survey Form and Instruction

All Historical Document Collections

202402-0920-007	Revision of a currently approved collection	2024-02-22
202010-0920-018	Extension without change of a currently approved collection	2020-12-02
201801-0920-003 Approved without change	Revision of a currently approved collection	2018-01-31
201503-0920-010 Approved with change	New collection (Request for a new OMB Control Number)	2015-05-07

OMB Details

Public Health Associate Program (PHAP) Alumni Assessment

Federal Enterprise Architecture: Health - Health Care Services

Form None

Public Health Associate Program (PHAP) Alumni Assessment

None

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.