Information Collection

[PHIC] 2025 EEP Supervisor Survey

IC 273939 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⚠️ Notice: This information collection may be referencing outdated material.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 2025 EEP Supervisor Evaluation of Student and Program Survey [PHIC] 2025 EEP Supervisor Survey	Form and Instruction
0920-1163 2025 EEP Supervisor Evaluation of Student and Program Su Att_1_2025 EEP Sup Surv_2025.02.26_clean.docx	Form and Instruction
Att_3_2025 EEP Sup Surv_InvEmail.docx 2025 EEP Supervisor Survey_Invitation Email	IC Document
Att_4_2025 EEP Sup Surv_RemEmail.docx 2025 EEP Supervisor Survey_Reminder Email	IC Document
GenIC_Host Site Survey_EEP.docx 0920-1163 GenIC Request Template	IC Document

IC Title:

[PHIC] 2025 EEP Supervisor Survey

Agency IC Tracking Number:

0920-1163-25-0008

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	0920-1163			N/A	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: 09-20-0161 - Records of Health Professionals in Disease Prevention and Control Training Programs

FR Citation: 51 FR 42485

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	13	13
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2025 EEP Supervisor Survey_Invitation Email		02/03/2025
2025 EEP Supervisor Survey_Reminder Email		02/03/2025
0920-1163 GenIC Request Template		02/03/2025

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

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