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[PHIC] 2025 EEP Supervisor Survey
[PHIC] Data Collection for CDC Fellowship Programs
OMB: 0920-1163
IC ID: 273939
OMB.report
HHS/CDC
OMB 0920-1163
ICR 202504-0920-025
IC 273939
( )
Documents and Forms
Document Name
Document Type
Form 0920-1163
[PHIC] 2025 EEP Supervisor Survey
Form and Instruction
Form 0920-1163
[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
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_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
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
GenIC_Host Site Survey_EEP.docx
0920-1163 GenIC Request Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[PHIC] 2025 EEP Supervisor Survey
Agency IC Tracking Number:
0920-1163-25-0008
IC Status:
Unchanged
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
0920-1163
2025 EEP Supervisor Evaluation of Student and Program Survey
Att_1_2025 EEP Sup Surv_2025.02.26_clean.docx
N/A
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:
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13
0
0
0
0
13
Annual IC Time Burden (Hours)
5
0
0
0
0
5
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2025 EEP Supervisor Survey_Invitation Email
Att_3_2025 EEP Sup Surv_InvEmail.docx
02/03/2025
2025 EEP Supervisor Survey_Reminder Email
Att_4_2025 EEP Sup Surv_RemEmail.docx
02/03/2025
0920-1163 GenIC Request Template
GenIC_Host Site Survey_EEP.docx
02/03/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.