OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0920-1078 · HHS/CDC.

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). The subpopulations to be studied are the PHAP Host Site Supervisors and PHAP Alumni. Information will be collected through online surveys. Findings will be used to assess the quality and value of the PHAP. This change requests minor edits to the core questions and to the EIS and LLS surveys.

The latest form for [PHIC] The Division of Workforce Development (DWD) Fellowship Alumni Assessment expires 2027-03-31 and is listed under ICR 202507-0920-017.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-24IB Presidential Management Fellowship (PMF)Form
Form 0920-24IB Presidential Management Fellowship (PMF)Form
Form 0920-1078 Att L_SAF Alumni SurveyForm and Instruction
Form 0920-1078 SAF AlumniForm and Instruction
Form 0920-1078 Att K_PHAP Alumni SurveyForm and Instruction
Form 0920-1078 PHAP AlumniForm and Instruction
Form 0920-1078 Att J_PHIFP Alumni SurveyForm and Instruction
Form 0920-1078 PHIFP AlumniForm and Instruction
Form 0920-1078 Att I_PE Alumni SurveyForm and Instruction
Form 0920-1078 PE Fellowship AlumniForm and Instruction
Form 0920-1078 Att H_FLIGHT Alumni SurveyForm and Instruction
Form 0920-1078 FLIGHT AlumniForm and Instruction
LLS Alumni SurveyForm and Instruction
EIS Alumni SurveyForm and Instruction
EIS/LLS AlumniForm and Instruction
Form 0920-1078 Att F_EFP Alumni SurveyForm and Instruction
Form 0920-1078 EFP AlumniForm and Instruction
Form 0920-1078 Att E_EEP Alumni SurveyForm and Instruction
Form 0920-1078 EEP Alumni SurveyForm and Instruction
0920-1078 July2025 CR Memo.docxJustification for No Material/Nonsubstantive Change
0920-1078 2025 EO CR Memo.docxJustification for No Material/Nonsubstantive Change
0920-1078 2025 EO CR Memo.docx Justification for No Material/Nonsubstantive Change
AttC_July2025_clean.docxSupplementary Document
AttC_July2025_clean.docx Supplementary Document
Change_Justification_Dec2024.docxJustification for No Material/Nonsubstantive Change
Att O-1_PMF Alumni Survey Initial Email.docxSupplementary Document
Att O-1_PMF Alumni Survey Initial Email.docx Supplementary Document
Att O_PMF_Alum_Surv_Clean.docxSupplementary Document
Att O_PMF_Alum_Surv_Clean.docx Supplementary Document
0920-1078 Change Request_PMF.docxJustification for No Material/Nonsubstantive Change
0920-1078 Change Request_PMF.docx Justification for No Material/Nonsubstantive Change
Att N_Acronym List.docxSupplementary Document
Att N_Acronym List.docx Supplementary Document
Att M_Privacy Act Checklist.docxSupplementary Document
Att M_Privacy Act Checklist.docx Supplementary Document
Att L-2_SAF Reminder Email.docxSupplementary Document
Att L-2_SAF Reminder Email.docx Supplementary Document
Att L-1_SAF Invitation Email.docxSupplementary Document
Att L-1_SAF Invitation Email.docx Supplementary Document
Att K-2_PHAP Reminder Email.docxSupplementary Document
Att K-2_PHAP Reminder Email.docx Supplementary Document
Att K-1_PHAP Initial Email.docxSupplementary Document
Att K-1_PHAP Initial Email.docx Supplementary Document
Att J-2_PHIFP Reminder Email.docxSupplementary Document
Att J-2_PHIFP Reminder Email.docx Supplementary Document
Att J-1_PHIFP Initial Email.docxSupplementary Document
Att J-1_PHIFP Initial Email.docx Supplementary Document
Att I-2_PE Reminder Email.docxSupplementary Document
Att I-2_PE Reminder Email.docx Supplementary Document
Att I-1_PE Initial Email.docxSupplementary Document
Att I-1_PE Initial Email.docx Supplementary Document
Att H-2_FLIGHT Reminder Email.docxSupplementary Document
Att H-2_FLIGHT Reminder Email.docx Supplementary Document
Att H-1_FLIGHT Initial Email.docxSupplementary Document
Att H-1_FLIGHT Initial Email.docx Supplementary Document
Att G-2_EIS-LLS Reminder Email.docxSupplementary Document
Att G-2_EIS-LLS Reminder Email.docx Supplementary Document
Att G-1_EIS-LLS Initial Email.docxSupplementary Document
Att G-1_EIS-LLS Initial Email.docx Supplementary Document
Att F-2_EFP Reminder Email.docxSupplementary Document
Att F-1_EFP Initial Email.docxSupplementary Document
Att E-2_EEP Reminder Email.docxSupplementary Document
Att E-2_EEP Reminder Email.docx Supplementary Document
Att E-1_EEP Initial Email.docxSupplementary Document
Att E-1_EEP Initial Email.docx Supplementary Document
Att D_Alumni Survey Screen Shots.docxSupplementary Document
Att D_Alumni Survey Screen Shots.docx Supplementary Document
Att A_Public Health Service Act.docxSupplementary Document
Att A_Public Health Service Act.docx Supplementary Document
Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docxSupplementary Document
Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docx Supplementary Document
Attachment M_PHAP Alumni Survey Reminder Email-FINAL.docxSupplementary Document
Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docxSupplementary Document
Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docx Supplementary Document
Attachment J_PHAP Host Site Supervisor Survey Final Reminder_FINAL.docxSupplementary 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.docxSupplementary 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.docxSupplementary Document
Attachment H_PHAP Host Site Supervisor Survey Reminder Email_FINAL.docx Supplementary Document
Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docxSupplementary Document
Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docx Supplementary Document
Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docxSupplementary Document
Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docx Supplementary Document
Attachment D_Published 60 day_11022020.pdfSupplementary Document
Attachment D_Published 60 day_11022020.pdf Supplementary Document
Attachment A_Public Health Service Act_FINAL.docxSupplementary Document
Attachment A_Public Health Service Act_FINAL.docx Supplementary Document
DWD Alumni Survey ICR- Statement B Revision.docxSupporting Statement B
DWD Alumni Survey ICR- Statement B Revision.docxSupporting Statement B
DWD Alumni ICR- Statement A Revision.docxSupporting Statement A
Presidential Management Fellowship (PMF) Form
Presidential Management Fellowship (PMF) Form
SAF Alumni Form and Instruction
SAF Alumni Form and Instruction
PHAP Alumni Form and Instruction
PHAP Alumni Form and Instruction
PHIFP Alumni Form and Instruction
PHIFP Alumni Form and Instruction
PE Fellowship Alumni Form and Instruction
PE Fellowship Alumni Form and Instruction
FLIGHT Alumni Form and Instruction
FLIGHT Alumni Form and Instruction
EIS/LLS Alumni Form and Instruction
EIS/LLS Alumni Form and Instruction
EIS/LLS Alumni Form and Instruction
EFP Alumni Form and Instruction
EFP Alumni Form and Instruction
EEP Alumni Survey Form and Instruction
EEP Alumni Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202507-0920-017 No material or nonsubstantive change to a currently approved collection 2025-07-28
202505-0920-001 No material or nonsubstantive change to a currently approved collection 2025-05-05 Approved without change
202501-0920-001 No material or nonsubstantive change to a currently approved collection 2025-01-15 Approved without change
202408-0920-008 No material or nonsubstantive change to a currently approved collection 2024-08-29 Approved without change
202402-0920-007 Revision of a currently approved collection 2024-02-22 Approved without change
202010-0920-018 Extension without change of a currently approved collection 2020-12-02
201801-0920-003 Revision of a currently approved collection 2018-01-31 Approved without change
201503-0920-010 New collection (Request for a new OMB Control Number) 2015-05-07 Approved with change

OMB Details

EEP Alumni Survey

Federal Enterprise Architecture: Workforce Management - Training and Employment

Information collection instruments
FormNameElectronic accessType
Form 0920-1078Att E_EEP Alumni SurveyFillable FileableForm and instruction

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