Information Collection

2022 EpiEpidemic Intelligence Service (EIS) Conference and Match Feedback Surveys

IC 252850 under ICR 201902-0920-022 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-22EE Att_1_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey 2022 EpiEpidemic Intelligence Service (EIS) Conference and Match Feedback Surveys	Form
Form 0920-22EE Att_6_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey 2022 EpiEpidemic Intelligence Service (EIS) Conference and Match Feedback Surveys	Form and Instruction
0920-22EE Att_1_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey Att_1_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey.docx	Form
0920-22EE Att_6_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey Att_6_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
Att_2_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shot.docx Att_2_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shot	IC Document
Att_3_0920-1050_2022_ES_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx Att_3_0920-1050_2022_ES_Conf_Cust_Serv_Fdbk_Survey_Inv_Email	IC Document
Att_4_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Att_4_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email	IC Document
Att_5_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.jpg Att_5_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer	IC Document
Att_7_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shot.docx Att_7_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shot	IC Document
Att_8_0920-1050_2022_ES_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx Invitation Email	IC Document
Att_9_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Reminder Email	IC Document
GenIC Req_0920-1050_2022_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx Change Request Form	IC Document
SSA_New_Requirements_0920-1050_2022_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx SSA New Requirements	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2022 EpiEpidemic Intelligence Service (EIS) Conference and Match Feedback Surveys

Agency IC Tracking Number:

0920-22EE

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	0920-22EE				Yes	Yes	Fillable Fileable
Form and Instruction	0920-22EE				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: 1,251

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,251	1,251
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att_2_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shot		04/12/2022
Att_3_0920-1050_2022_ES_Conf_Cust_Serv_Fdbk_Survey_Inv_Email		04/12/2022
Att_4_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email		04/12/2022
Att_5_0920-1050_2022_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer		04/12/2022
Att_7_0920-1050_2022_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shot		04/12/2022
Invitation Email		04/12/2022
Reminder Email		04/12/2022
Change Request Form		04/12/2022
SSA New Requirements		04/12/2022

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

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