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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	2023 EIS Conference Customer Service Feedback Survey	Att_1_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey.docx		Yes	Yes	Fillable Fileable
Form and Instruction	n/a	2023 EIS Match Customer Service Feedback Survey	Att_6_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey.docx		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 %

	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

Title	Document	Date Uploaded
Customer Survey Screenshots	Att_2_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shots.docx	04/13/2023
Customer Survey Invitation Email	Att_3_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx	04/13/2023
Customer Survey Reminder Email	Att_4_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx	04/13/2023
Customer Survey Flyer	Att_5_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.pdf	04/13/2023
Match Survey Screenshots	Att_7_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shots.docx	04/13/2023
Match Survey Invitation Email	Att_8_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx	04/13/2023
Match Survey Reminder Email	Att_9_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx	04/13/2023
Summary Information	SSA_New_Requirements_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx	04/13/2023
GenIC Request Template	GenIC_Request_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey_final.docx	04/13/2023

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