Non-substantive Change Request
OMB
Control Number 0920-1078
DWD Alumni Survey
Date Submitted: December 26, 2024
Summary of request: This change request revises race and ethnicity and gender identity questions for the DWD Alumni Survey.
Description of Changes Requested
This request updates both the race and ethnicity and the gender identity questions used in the standard Alumni Survey to be in accordance with the most recently published OMB standards and White House guidelines.
Rationale for Change
Race and ethnicity and gender identity data are relevant components of ensuring DWD fellowships are aligning with the CDC’s programming tenets of diversity. These data fields will be used to describe alumni and make comparisons. The change will also align these fields with those approved for use in the Fellowship Management System ICR (0920-0765). This request looks to obtain approval in advance of the 2025 collection cycle for DWD fellowship alumni.
Description of Changes to Burden
There are no changes to burden from the alterations in this request.
Recent Submissions for this Collection
Epidemiology Elective Program (EEP)
Evaluation Fellowship Program (EFP)
Epidemic Intelligence Service (EIS)
Laboratory Leadership Service (LLS)
Future Leaders in Infections and Global Health Threats (FLIGHT)
CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship
Public Health Informatics Fellowship Program (PHIFP)
Public Health Associates Program (PHAP)
Science Ambassador Fellowship Program (SAF)
Presidential Management Fellowship (PMF)
Data Collection Instrument Form Name |
Type of Respondent |
No. of Respondents |
No. of Responses per Respondent |
Average Burden per Response (in hours) |
Total Burden Hours |
Hourly Wage Rate |
Total Respondent Costs |
EEP Alumni Survey |
EEP Alumni |
135 |
1 |
20/60 |
45 |
$108.30 |
$4874 |
EFP Alumni Survey |
EFP Alumni |
60 |
1 |
8/60 |
8 |
$34.07 |
$273 |
EIS/LLS Alumni Survey |
EIS/LLS Alumni |
210 |
1 |
25/60 |
88 |
$47.87 |
$4,213 |
FLIGHT Alumni Survey |
FLIGHT Alumni |
5 |
1 |
8/60 |
1 |
$108.30 |
$108 |
PE Fellowship Alumni Survey |
PE Fellowship Alumni |
25 |
1 |
8/60 |
3 |
$40.51 |
$122 |
PHIFP Alumni Survey |
PHIFP Alumni |
20 |
1 |
8/60 |
3 |
$40.51 |
$122 |
PHAP Alumni Survey |
PHAP Alumni |
130 |
1 |
8/60 |
17 |
$28.42 |
$483 |
SAF Alumni Survey |
SAF Alumni |
60 |
1 |
10/60 |
10 |
$31.49 |
$315 |
PMF Alumni Survey |
PMF Alumni |
50 |
1 |
8/60 |
7 |
$48.08 |
$337 |
Total |
|
695 |
|
|
182 |
|
$10,847 |
Table C: Description of Changes to Standard Alumni Survey Module
Type of Change |
Question/Item |
Requested Change |
Question Revision |
What is your race? Select all that apply.
|
What is your race and/or ethnicity? Select all that apply
-American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.
-Asian For example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, Japanese, etc.
-Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.
-Hispanic or Latino For example, Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, etc.
-Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Iraqi, Israeli, etc.
-Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallaese, etc.
- White For example, English, German, Irish, Italian, Polish, Scottish, etc. |
Question Deletion |
What is your ethnicity? -Hispanic or Latino -Not Hispanic or Latino -I prefer not to answer |
Delete question |
Question Revision |
How do you currently describe yourself? -Male -Female -Transgender -I use a different term |
Are you: (select all that apply) -Female -Male -Transgender, non-binary, or another gender -Prefer not to answer |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Clinebell, Carter (CDC/DDPHSS/CSELS/DSEPD) (CTR) |
File Modified | 0000-00-00 |
File Created | 2025-01-16 |