OMB control number

[PHIC] The Division of Workforce Development (DWD) Fellowship Alumni Assessment

OMB 0920-1078 · HHS/CDC.

OMB 0920-1078

This information collection request (ICR) is to gain three-year approval to follow alumni career progression following participation in the Public Health Associate Program (PHAP). The subpopulations to be studied are the PHAP Host Site Supervisors and PHAP Alumni. Information will be collected through online surveys. Findings will be used to assess the quality and value of the PHAP. This change requests minor edits to the core questions and to the EIS and LLS surveys.

The latest form for [PHIC] The Division of Workforce Development (DWD) Fellowship Alumni Assessment expires 2027-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-24IB Presidential Management Fellowship (PMF) Form
Form 0920-1078 SAF Alumni Form and Instruction
Form 0920-1078 PHAP Alumni Form and Instruction
Form 0920-1078 PHIFP Alumni Form and Instruction
Form 0920-1078 PE Fellowship Alumni Form and Instruction
Form 0920-1078 FLIGHT Alumni Form and Instruction
EIS/LLS Alumni Form and Instruction
Form 0920-1078 EFP Alumni Form and Instruction
Form 0920-1078 EEP Alumni Survey Form and Instruction
0920-1078 July2025 CR Memo.docx Justification for No Material/Nonsubstantive Change
0920-1078 2025 EO CR Memo.docx Justification for No Material/Nonsubstantive Change
AttC_July2025_clean.docx Supplementary Document
Change_Justification_Dec2024.docx Justification for No Material/Nonsubstantive Change
Att O-1_PMF Alumni Survey Initial Email.docx Supplementary Document
Att O_PMF_Alum_Surv_Clean.docx Supplementary Document
0920-1078 Change Request_PMF.docx Justification for No Material/Nonsubstantive Change
Att N_Acronym List.docx Supplementary Document
Att M_Privacy Act Checklist.docx Supplementary Document
Att L-2_SAF Reminder Email.docx Supplementary Document
Att L-1_SAF Invitation Email.docx Supplementary Document
Att K-2_PHAP Reminder Email.docx Supplementary Document
Att K-1_PHAP Initial Email.docx Supplementary Document
Att J-2_PHIFP Reminder Email.docx Supplementary Document
Att J-1_PHIFP Initial Email.docx Supplementary Document
Att I-2_PE Reminder Email.docx Supplementary Document
Att I-1_PE Initial Email.docx Supplementary Document
Att H-2_FLIGHT Reminder Email.docx Supplementary Document
Att H-1_FLIGHT Initial Email.docx Supplementary Document
Att G-2_EIS-LLS Reminder Email.docx Supplementary Document
Att G-1_EIS-LLS Initial Email.docx Supplementary Document
Att F-2_EFP Reminder Email.docx Supplementary Document
Att F-1_EFP Initial Email.docx Supplementary Document
Att E-2_EEP Reminder Email.docx Supplementary Document
Att E-1_EEP Initial Email.docx Supplementary Document
Att D_Alumni Survey Screen Shots.docx Supplementary Document
Att A_Public Health Service Act.docx Supplementary Document
Attachment N_PHAP Alumni Survey Reminder Email 2-FINAL.docx Supplementary Document
Attachment M_PHAP Alumni Survey Reminder Email-FINAL.docx Supplementary Document
Attachment K_PHAP Alumni Survey Email Invitation_FINAL.docx Supplementary Document
Attachment J_PHAP Host Site Supervisor Survey Final Reminder_FINAL.docx Supplementary Document
Attachment I_PHAP Host Site Supervisor Survey Second Reminder Email_FINAL.docx Supplementary Document
Attachment H_PHAP Host Site Supervisor Survey Reminder Email_FINAL.docx Supplementary Document
Attachment G_PHAP Host Site Supervisor Survey Invitation Email_FINAL.docx Supplementary Document
Attachment E_PHAP Host Site Supervisor Survey Respondent Information_FINAL.docx Supplementary Document
Attachment D_Published 60 day_11022020.pdf Supplementary Document
Attachment A_Public Health Service Act_FINAL.docx Supplementary Document
DWD Alumni Survey ICR- Statement B Revision.docx Supporting Statement B
DWD Alumni ICR- Statement A Revision.docx Supporting Statement A
Presidential Management Fellowship (PMF) Form
SAF Alumni Form and Instruction
PHAP Alumni Form and Instruction
PHIFP Alumni Form and Instruction
PE Fellowship Alumni Form and Instruction
FLIGHT Alumni Form and Instruction
EIS/LLS Alumni Form and Instruction
EFP Alumni Form and Instruction
EEP Alumni Survey Form and Instruction

All Historical Document Collections

202507-0920-017	No material or nonsubstantive change to a currently approved collection	2025-07-28
202505-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-05-05
202501-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-01-15
202408-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-08-29
202402-0920-007 Approved without change	Revision of a currently approved collection	2024-02-22
202010-0920-018	Extension without change of a currently approved collection	2020-12-02
201801-0920-003 Approved without change	Revision of a currently approved collection	2018-01-31
201503-0920-010 Approved with change	New collection (Request for a new OMB Control Number)	2015-05-07

OMB Details

EEP Alumni Survey

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form 0920-1078

Att E_EEP Alumni Survey

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.