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[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023)
[PHIC] Data Collection for CDC Fellowship Programs
OMB: 0920-1163
IC ID: 263379
OMB.report
HHS/CDC
OMB 0920-1163
ICR 202411-0920-004
IC 263379
( )
Documents and Forms
Document Name
Document Type
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023)
Form and Instruction
Att_2_0920-1163_2023_CDC EEP Alumni Survey_Screenshots_11132023.docx
Other-Screenshot
EEP Alumni Survey
Att_1_0920-1163_2023_CDC EEP Alumni Survey_11132023.docx
Form and Instruction
GenIC Request Template_2023 EEP Alumni Survey_11062023_final.docx
GenIC Request Template
IC Document
Att_3_0920_1163_2023_EEP Alumni Survey_Invitation Email.docx
Invitation Email
IC Document
Att_4_0920_1163_2023_EEP Alumni Survey_Reminder Email.docx
Reminder Email
IC Document
Att_5_EEP Alumni Survey STARS Determination 2023.pdf
Research Determination
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023)
Agency IC Tracking Number:
0920-1163-24BA
IC Status:
Unchanged
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
EEP Alumni Survey
Att_1_0920-1163_2023_CDC EEP Alumni Survey_11132023.docx
Yes
Yes
Fillable Fileable
Other-Screenshot
Att_2_0920-1163_2023_CDC EEP Alumni Survey_Screenshots_11132023.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:
140
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
140
0
0
0
0
140
Annual IC Time Burden (Hours)
42
0
0
0
0
42
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request Template
GenIC Request Template_2023 EEP Alumni Survey_11062023_final.docx
11/14/2023
Invitation Email
Att_3_0920_1163_2023_EEP Alumni Survey_Invitation Email.docx
11/14/2023
Reminder Email
Att_4_0920_1163_2023_EEP Alumni Survey_Reminder Email.docx
11/14/2023
Research Determination
Att_5_EEP Alumni Survey STARS Determination 2023.pdf
11/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.