National Environmental Public Health Internship Program Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.