Information Collection

[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023)

IC 263379 under ICR 202211-0920-007 · OMB 0920-1163.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1163 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023)	Form and Instruction
Att_2_0920-1163_2023_CDC EEP Alumni Survey_Screenshots_11132023.docx	Other-Screenshot
EEP Alumni Survey Att_1_0920-1163_2023_CDC EEP Alumni Survey_11132023.docx	Form and Instruction
GenIC Request Template_2023 EEP Alumni Survey_11062023_final.docx GenIC Request Template	IC Document
Att_3_0920_1163_2023_EEP Alumni Survey_Invitation Email.docx Invitation Email	IC Document
Att_4_0920_1163_2023_EEP Alumni Survey_Reminder Email.docx Reminder Email	IC Document
Att_5_EEP Alumni Survey STARS Determination 2023.pdf Research Determination	IC Document

IC Title:

[PHIC] Epidemiology Elective Program (EEP) Alumni Surveys (2023)

Agency IC Tracking Number:

0920-1163-24BA

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	n/a	EEP Alumni Survey	Att_1_0920-1163_2023_CDC EEP Alumni Survey_11132023.docx		Yes	Yes	Fillable Fileable
Other-Screenshot			Att_2_0920-1163_2023_CDC EEP Alumni Survey_Screenshots_11132023.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

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	140	140
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request Template	GenIC Request Template_2023 EEP Alumni Survey_11062023_final.docx	11/14/2023
Invitation Email	Att_3_0920_1163_2023_EEP Alumni Survey_Invitation Email.docx	11/14/2023
Reminder Email	Att_4_0920_1163_2023_EEP Alumni Survey_Reminder Email.docx	11/14/2023
Research Determination	Att_5_EEP Alumni Survey STARS Determination 2023.pdf	11/14/2023

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