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

[CSELS] Data Collection for CDC Fellowship Programs

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.