View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

CDC Fellowship Programs Assessments 0920-21BN
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Mentor Survey 0920-21BN AttachmentD_MentorSurvey_GenIC_PPEO.pdf Yes Yes Fillable Fileable
Form and Instruction Mentor Interview Recruitment Form 0920-21BN AttachmentE_Mentor_Interview_Recruitment_Form_GenIC_PPEO.pdf Yes Yes Fillable Fileable
Form and Instruction Alumni Survey 0920-21BN AttachmentF_AlumniSurvey_GenIC_PPEO.pdf Yes Yes Fillable Fileable
Form and Instruction Alumni Interview Recruitment Form 0920-21BN AttachmentG_Alumni_Interview_Recruitment_Form_GenIC_PPEO.pdf Yes Yes Fillable Fileable
Form and Instruction Alumni Interview 0920-21BN AttachmentH_Alumni_Interview_GenIC_PPEO.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

340 0
   
Individuals or Households
 
   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 340 0 340 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request PPEO Evaluation Fellowship_Request_GenIC_CLEAN.docx 12/17/2020
Follow-up Email AttachmentC_Followup_Email_GenIC_PPEO.docx 12/17/2020
Project Determination Description PPEO Evaluation Fellowship Project Determination Description.pdf 12/17/2020
PPEO Project Determination Approval PPEO Project Determination Approval.pdf 12/17/2020
Recruitment Email AttachmentB_Recruitment_EMail_GenIC_PPEO.docx 12/17/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.