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[PHIC] EIS LLS alumni survey 2023
[PHIC] Data Collection for CDC Fellowship Programs
OMB: 0920-1163
IC ID: 263499
OMB.report
HHS/CDC
OMB 0920-1163
ICR 202411-0920-004
IC 263499
( )
Documents and Forms
Document Name
Document Type
Form 0920-1163
[PHIC] EIS LLS alumni survey 2023
Form and Instruction
Att_2_0920-1163_2023_CDC EIS-LLS Alumni Survey_Screenshots_11132023.docx
Other-Screenshots
Att_3_0920_1163_2023_EIS-LLS Alumni Survey_Invitation Email.docx
Other-Email
0920-1163 [Epidemic Intelligence Service/Laboratory Leadership Ser
Att_1_0920-1163_2023_CDC EIS-LLS Alumni Survey_11132023.docx
Form and Instruction
Att_4_0920_1163_2023_EIS-LLS Alumni Survey_Reminder Email.docx
2023 EIS/LLS Alumni Survey Reminder Email
IC Document
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf
STARS Determination
IC Document
GenIC Template_2023 EIS-LLS Alumni Surveys_clean.docx
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-116
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[PHIC] EIS LLS alumni survey 2023
Agency IC Tracking Number:
0920-1163-24BF
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
0920-1163
[Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey
Att_1_0920-1163_2023_CDC EIS-LLS Alumni Survey_11132023.docx
Yes
Yes
Fillable Fileable
Other-Screenshots
Att_2_0920-1163_2023_CDC EIS-LLS Alumni Survey_Screenshots_11132023.docx
No
Printable Only
Other-Email
Att_3_0920_1163_2023_EIS-LLS Alumni Survey_Invitation Email.docx
No
Printable Only
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:
220
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
220
0
0
0
0
220
Annual IC Time Burden (Hours)
79
0
0
0
0
79
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2023 EIS/LLS Alumni Survey Reminder Email
Att_4_0920_1163_2023_EIS-LLS Alumni Survey_Reminder Email.docx
11/16/2023
STARS Determination
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf
11/16/2023
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1163)
GenIC Template_2023 EIS-LLS Alumni Surveys_clean.docx
11/16/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.