OMB
.report
Search
[PHIC] EIS supervisor surveys
[PHIC] Data Collection for CDC Fellowship Programs
OMB: 0920-1163
IC ID: 268338
OMB.report
HHS/CDC
OMB 0920-1163
ICR 202411-0920-004
IC 268338
( )
Documents and Forms
Document Name
Document Type
Form 0920-24GH
[PHIC] EIS supervisor surveys
Form
0920-24GH 2024 EIS Supervisor Survey
Att_1_0920-1163_2024 EIS Supervisor Survey.docx
Form
0920-24GH 2024 EIS Supervisor Exit Survey
Att_5_0920-1163_2024 EIS Supervisor Exit Survey.docx
Form
GenIC Request Template_2024 EIS Supervisor Survey & Supervisor Exit Survey.docx
GenIC Request
IC Document
Att_2_0920-1163_2024 EIS Supervisor Survey_Screenshots.docx
Screenshot
IC Document
Att_3_0920_1163_2024 EIS Supervisor Survey_Invitation Email.docx
Invitation Email
IC Document
Att_4_0920_1163_2024 EIS Supervisor Survey_Reminder Email.docx
Reminder Email
IC Document
Att_6_0920-1163_2024 EIS Supervisor Exit Survey_Screenshots.docx
Exit Survey_Screenshots
IC Document
Att_7_0920_1163_2024 EIS Supervisor Exit Survey_Invitation Email.docx
Exit Survey_Invitation Email
IC Document
Att_8_0920_1163_2024 EIS Supervisor Exit Survey_Reminder Email.docx
Exit Survey_Reminder Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[PHIC] EIS supervisor surveys
Agency IC Tracking Number:
0920-1163-24GH
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
0920-24GH
2024 EIS Supervisor Survey
Att_1_0920-1163_2024 EIS Supervisor Survey.docx
Yes
Yes
Fillable Fileable
Form
0920-24GH
2024 EIS Supervisor Exit Survey
Att_5_0920-1163_2024 EIS Supervisor Exit Survey.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:
59
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
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
59
0
0
0
0
59
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
GenIC Request Template_2024 EIS Supervisor Survey & Supervisor Exit Survey.docx
06/06/2024
Screenshot
Att_2_0920-1163_2024 EIS Supervisor Survey_Screenshots.docx
06/06/2024
Invitation Email
Att_3_0920_1163_2024 EIS Supervisor Survey_Invitation Email.docx
06/06/2024
Reminder Email
Att_4_0920_1163_2024 EIS Supervisor Survey_Reminder Email.docx
06/06/2024
Exit Survey_Screenshots
Att_6_0920-1163_2024 EIS Supervisor Exit Survey_Screenshots.docx
06/06/2024
Exit Survey_Invitation Email
Att_7_0920_1163_2024 EIS Supervisor Exit Survey_Invitation Email.docx
06/06/2024
Exit Survey_Reminder Email
Att_8_0920_1163_2024 EIS Supervisor Exit Survey_Reminder Email.docx
06/06/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.