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[CSELS] ELI Fellowship End of Year Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 259744
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 259744
( )
Documents and Forms
Document Name
Document Type
[CSELS] ELI Fellowship End of Year Survey
Form and Instruction
ELI Fellow End of Year Survey
Att_1_0920-1050_ELI Fellow End of Year Survey_MSWord.docx
Form and Instruction
ELI Mentor End of Year Survey
Att_3_0920-1050_ELI Mentor End of Year Survey_MSWord.docx
Form and Instruction
0920-1050 Customer Service GenIC Clearance_ELI End of Year Survey_final.docx
GenIC Request Template
IC Document
Att_2_0920-1050_ELI Fellow End of Year Survey_Screenshots.docx
ELI Fellow End of Year Survey Screenshots
IC Document
Att_4_0920-1050_ELI Mentor End of Year Survey_Screenshots.docx
ELI Mentor End of Year Survey Screenshots
IC Document
Att_5_0920-1050_ELI Fellowhip Survey Reminder.docx
ELI Fellowship Survey Reminder
IC Document
SSA_New_Requirements_ELI Fellowship End of Year Survey.docx
SSA Summary Info
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[CSELS] ELI Fellowship End of Year Survey
Agency IC Tracking Number:
0920-1050-23EE
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
ELI Fellow End of Year Survey
Att_1_0920-1050_ELI Fellow End of Year Survey_MSWord.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
ELI Mentor End of Year Survey
Att_3_0920-1050_ELI Mentor End of Year Survey_MSWord.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30
0
0
0
0
30
Annual IC Time Burden (Hours)
4
0
0
0
0
4
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template
0920-1050 Customer Service GenIC Clearance_ELI End of Year Survey_final.docx
04/20/2023
ELI Fellow End of Year Survey Screenshots
Att_2_0920-1050_ELI Fellow End of Year Survey_Screenshots.docx
04/20/2023
ELI Mentor End of Year Survey Screenshots
Att_4_0920-1050_ELI Mentor End of Year Survey_Screenshots.docx
04/20/2023
ELI Fellowship Survey Reminder
Att_5_0920-1050_ELI Fellowhip Survey Reminder.docx
04/20/2023
SSA Summary Info
SSA_New_Requirements_ELI Fellowship End of Year Survey.docx
04/20/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.