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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
APIH Fellowship Program Orientation Survey
Agency IC Tracking Number:
0920-1050-19NK
IC Status:
New
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
0920-1050
APIH - ASPPH ORIENTATION SURVY
ATTACHMENT 1_ APIH FELLOWSHIP ASPPH ORIENTATION SURVEY.pdf
Yes
Yes
Fillable Fileable
Form
0920-1050
APIH - AACN ORIENTATON SURVEY
ATTACHMENT 2 APIH FELLOWSHIP AACN ORIENTATION SURVEY.pdf
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:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
30
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
ASPPH Fellows Invitation Email
ATTACHMENT 3 APIH_ASPPH_Orientation Survey_Inv_Email.docx
01/16/2019
AACN Fellows Invitation Email
ATTACHMENT 4 APIH_AACN_ Orientation Survey_Inv_Email.docx
01/16/2019
Request for Approval
GenIC Req_0920-1050_APIH Orienatation Survey.docx
01/16/2019
Supporting Statement A
SSA fast track revision.docx
01/16/2019
Supporting Statement B
SSB fast track revision.docx
01/16/2019
Requirement for Clearance
SSA_New_Requirements_0920-1050_2018_APIH Orientation Survey.docx
01/16/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.