OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Data Collection for CDC Fellowship Programs

ICR 201608-0920-018 · OMB 0920-1163 · Historical Active

Forms and Documents
Document
Name
Status
Form and Instruction
 New
Form
 New
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supplementary Document
2016-08-30
Supporting Statement B
2016-08-30
Supporting Statement A
2017-02-02
IC Document Collections
IC ID
Document
Title
Status
236778 New
226566 New
226164 New
ICR Details
0920-1163 201608-0920-018
Historical Active
HHS/CDC 16ARO
Data Collection for CDC Fellowship Programs
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/06/2017
Retrieve Notice of Action (NOA) 08/31/2016
Approved consistent with the understanding that outcomes from the genICs submitted under this OMB control number will not be generalizable to broader populations and are intended to inform internal fellowship program development. No incentives will be offered to respondents. All genICs submitted will include the instruments, any consent forms/recruitment letters, a supporting statement part A, and a supporting statement Part B where necessary.
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved
17,742 0 0
8,871 0 0
251,455 0 0
The intended use of data collected is to inform planning, implementation, and continuous quality improvement of CDC fellowship programs. Data collection methods include focus groups, interviews, and surveys, using both purposive and probabilistic samples. Respondent populations include potential applicants, fellows, alumni, supervisors, mentors, and employers of alumni. Data will be analyzed relative to the data collection methods and purpose.
US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  
None
Not associated with rulemaking
  81 FR 41305 06/24/2016
81 FR 59627 08/30/2016
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17,742 0 0 17,742 0 0
Annual Time Burden (Hours) 8,871 0 0 8,871 0 0
Annual Cost Burden (Dollars) 251,455 0 0 251,455 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-16ARO is New (Generic) ICR.
$121,007
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/31/2016