OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[PHIC] Public Health Law Fellowship Program

OMB 0920-1426 ยท HHS/CDC.

OMB 0920-1426

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-23DP PHL Fellowship Host Site Supervisor InterviewForm and Instruction
Form 0920-23DP PHL Fellowship Host Site End-of-Program SurveyForm and Instruction
Form 0920-23DP PHL Fellowship Host Site Welcome SurveyForm and Instruction
Form 0920-23DP PHL Fellowship Host Site ApplicationForm and Instruction
Form 0920-23DP PHL Fellowship Alumni SurveyForm and Instruction
Form 0920-23DP PHL Fellow Focus GroupForm and Instruction
Form 0920-23DP PHL Fellow End-of-Program SurveyForm and Instruction
Form 0920-23DP PHL Fellow Welcome SurveyForm and Instruction
Form 0920-23DP PHL Fellow ApplicationForm and Instruction
Att.F-3_PHLFellowWelcome_InvitationEmail.docx Supplementary Document
Att.I-3_PHLFellowAlum_InvitationEmail.docx Supplementary Document
Att.K-3_PHLHostWelcome_InvitationEmail.docx Supplementary Document
Att.L-3_PHLHostPost_InvitationEmail.docx Supplementary Document
Att.M-2_PHLHostSupervisorInterview_InvitationEmail.docx Supplementary Document
Att.F-2_PHLFellowWelcome_Screenshot.pdf Supplementary Document
Att.E-2_PHLFellowApp_Screenshot.pdf Supplementary Document
Att.D_eClearance Determination.pdf Supplementary Document
Att.C_PIA_2022_02-02-2023-signed.pdf Supplementary Document
Att.A-2 PL 117-2.pdf Supplementary Document
Att.A-1_Public Health Service Act.pdf Supplementary Document
PHLF ICR_SSB_09192023.docxSupporting Statement B
PHLF ICR_SSA_09192023_10242023_clean.docxSupporting Statement A
PHL Fellowship Host Site Supervisor Interview Form and Instruction
PHL Fellowship Host Site End-of-Program Survey Form and Instruction
PHL Fellowship Host Site Welcome Survey Form and Instruction
PHL Fellowship Host Site Application Form and Instruction
PHL Fellowship Alumni Survey Form and Instruction
PHL Fellow Focus Group Form and Instruction
PHL Fellow End-of-Program Survey Form and Instruction
PHL Fellow Welcome Survey Form and Instruction
PHL Fellow Application Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202310-0920-006 New collection (Request for a new OMB Control Number) 2023-10-31 Approved without change