[PHIC] 2025 LLS Host Site Survey

[PHIC] Data Collection for CDC Fellowship Programs

OMB: 0920-1163

IC ID: 274473

Documents and Forms
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IC Document
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Information Collection (IC) Details

View Information Collection (IC)

[PHIC] 2025 LLS Host Site Survey 0920-25-0006
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-25-0006 Att_1_2025 LLS Sup Surv Att_1_2025 LLS Sup Surv.docx Yes Yes Fillable Fileable
Form 0920-25-0006 Att_5_2025 LLS Sup ExSurv Att_5_2025 LLS Sup ExSurv rev.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

18 0
   
State, Local, and Tribal Governments
 
   0 %

  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 18 0 0 0 0 18
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att_2_2025 LLS Sup Surv_Scr Att_2_2025 LLS Sup Surv_Scr.docx 03/19/2025
Att_3_2025 LLS Sup Surv_InvEmail Att_3_2025 LLS Sup Surv_InvEmail.docx 03/19/2025
Att_4_2025 LLS Sup Surv RemEmail Att_4_2025 LLS Sup Surv RemEmail.docx 03/19/2025
Att_6_2025 LLS Sup ExSurv_Scr Att_6_2025 LLS Sup ExSurv_Scr.docx 04/09/2025
Att_7_2025 LLS Sup ExSurv_InvEm Att_7_2025 LLS Sup ExSurv_InvEm.docx 03/19/2025
Att_8_2025 LLS Sup ExSurv_RemEm Att_8_2025 LLS Sup ExSurv_RemEm.docx 03/19/2025
GenIC Request GenIC_Survey_LLS.docx 03/19/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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