Information Collection

[PHIC] EIS LLS alumni survey 2023

IC 263499 under ICR 202411-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1163 [PHIC] EIS LLS alumni survey 2023	Form and Instruction
Att_2_0920-1163_2023_CDC EIS-LLS Alumni Survey_Screenshots_11132023.docx	Other-Screenshots
Att_2_0920-1163_2023_CDC EIS-LLS Alumni Survey_Screenshots_11132023.docx	Other-Screenshots
Att_3_0920_1163_2023_EIS-LLS Alumni Survey_Invitation Email.docx	Other-Email
Att_3_0920_1163_2023_EIS-LLS Alumni Survey_Invitation Email.docx	Other-Email
0920-1163 [Epidemic Intelligence Service/Laboratory Leadership Ser Att_1_0920-1163_2023_CDC EIS-LLS Alumni Survey_11132023.docx	Form and Instruction
0920-1163 [Epidemic Intelligence Service/Laboratory Leadership Ser Att_1_0920-1163_2023_CDC EIS-LLS Alumni Survey_11132023.docx	Form and Instruction
Att_4_0920_1163_2023_EIS-LLS Alumni Survey_Reminder Email.docx 2023 EIS/LLS Alumni Survey Reminder Email	IC Document
Att_4_0920_1163_2023_EIS-LLS Alumni Survey_Reminder Email.docx 2023 EIS/LLS Alumni Survey Reminder Email	IC Document
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf STARS Determination	IC Document
Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf STARS Determination	IC Document
GenIC Template_2023 EIS-LLS Alumni Surveys_clean.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-116	IC Document
GenIC Template_2023 EIS-LLS Alumni Surveys_clean.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-116	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[PHIC] EIS LLS alumni survey 2023

Agency IC Tracking Number:

0920-1163-24BF

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1163	[Epidemic Intelligence Service/Laboratory Leadership Service] Alumni Survey	Att_1_0920-1163_2023_CDC EIS-LLS Alumni Survey_11132023.docx	Yes	Yes	Fillable Fileable
Other-Screenshots			Att_2_0920-1163_2023_CDC EIS-LLS Alumni Survey_Screenshots_11132023.docx	No		Printable Only
Other-Email			Att_3_0920_1163_2023_EIS-LLS Alumni Survey_Invitation Email.docx	No		Printable Only

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: 220

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	79	79
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2023 EIS/LLS Alumni Survey Reminder Email	Att_4_0920_1163_2023_EIS-LLS Alumni Survey_Reminder Email.docx	11/16/2023
STARS Determination	Att_5_ELWB Alumni Surveys STARS Determination 2023.pdf	11/16/2023
Request for Approval under the âGeneric Clearance for the Collection of Routine Customer Feedbackâ (OMB Control Number: 0920-1163)	GenIC Template_2023 EIS-LLS Alumni Surveys_clean.docx	11/16/2023

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