View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[PHIC] 2025 CDC Science Ambassador Fellowship (SAF) Exit Survey	Agency IC Tracking Number:	0920-25-0117

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 and Instruction	n/a	2025 SAF Exit Survey	Att_1_2025_SAF ExSurv.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: 26	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	26	0	26	0	0	0
Annual IC Time Burden (Hours)	5	0	5	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
2025 SAF Exit Survey Screenshots	Att_2_2025_SAF ExSurv Scr.docx	05/14/2025
Invitation Email	Att_3_2025_SAF ExSurv_Inv Em.docx	05/14/2025
Reminder Email	Att_4_2025_SAF ExSurv_Rem Em.docx	05/14/2025
GenIC Request Template	GenIC Request_2025 SAF ExSurv.docx	05/14/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.