Information Collection

2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys

IC 259677 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

2025-06-23 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys	Form and Instruction
2023 EIS Conference Customer Service Feedback Survey 2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys	Form and Instruction
2023 EIS Match Customer Service Feedback Survey 2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys	Form and Instruction
2023 EIS Conference Customer Service Feedback Survey Att_1_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
2023 EIS Conference Customer Service Feedback Survey Att_1_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
2023 EIS Match Customer Service Feedback Survey Att_6_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
2023 EIS Match Customer Service Feedback Survey Att_6_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
Att_2_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Customer Survey Screenshots	IC Document
Att_2_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Customer Survey Screenshots	IC Document
Att_3_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx Customer Survey Invitation Email	IC Document
Att_3_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx Customer Survey Invitation Email	IC Document
Att_4_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Customer Survey Reminder Email	IC Document
Att_4_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Customer Survey Reminder Email	IC Document
Att_5_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.pdf Customer Survey Flyer	IC Document
Att_5_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.pdf Customer Survey Flyer	IC Document
Att_7_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Match Survey Screenshots	IC Document
Att_7_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Match Survey Screenshots	IC Document
Att_8_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx Match Survey Invitation Email	IC Document
Att_8_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx Match Survey Invitation Email	IC Document
Att_9_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Match Survey Reminder Email	IC Document
Att_9_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Match Survey Reminder Email	IC Document
SSA_New_Requirements_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx Summary Information	IC Document
SSA_New_Requirements_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx Summary Information	IC Document
GenIC_Request_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey_final.docx GenIC Request Template	IC Document
GenIC_Request_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey_final.docx GenIC Request Template	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys

Agency IC Tracking Number:

0920-1050-23DZ

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				Yes	Yes	Fillable Fileable
Form and Instruction	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:

FR Citation:

Number of Respondents: 1,184

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	1,184	1,184
Annual IC Time Burden (Hours)	73	73
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Customer Survey Screenshots		04/13/2023
Customer Survey Invitation Email		04/13/2023
Customer Survey Reminder Email		04/13/2023
Customer Survey Flyer		04/13/2023
Match Survey Screenshots		04/13/2023
Match Survey Invitation Email		04/13/2023
Match Survey Reminder Email		04/13/2023
Summary Information		04/13/2023
GenIC Request Template		04/13/2023

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

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