Information Collection

National Environmental Public Health Internship Program Survey

IC 222751 under ICR 201510-0923-001 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Environmental Public Health Internship Program Survey	Form and Instruction
National Environmental Public Health Internship Program Attachment C - NEPHIP Survey (online).docx	Form and Instruction
Attachment B - NEPHIP Survey (text).docx NEPHIP Survey - WORD	IC Document
Attachment A - Email Invite for the NEPHIP Survey.docx Email Invitation for NEPHIP Survey	IC Document
Revised Generic Clearance Request Form - NEPHIP Survey.pdf GenIC Request	IC Document

IC Title:

National Environmental Public Health Internship Program Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	National Environmental Public Health Internship Program Survey	Attachment C - NEPHIP Survey (online).docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	31	31
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NEPHIP Survey - WORD	Attachment B - NEPHIP Survey (text).docx	07/29/2016
Email Invitation for NEPHIP Survey	Attachment A - Email Invite for the NEPHIP Survey.docx	07/29/2016
GenIC Request	Revised Generic Clearance Request Form - NEPHIP Survey.pdf	07/29/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.