Information Collection

[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys

IC 266334 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⚠️ Notice: This information collection may be referencing outdated material.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
[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys	Form and Instruction
2024 EIS Conference Customer Service Feedback Survey [PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys	Form and Instruction
2024 EIS Match Customer Service Feedback Survey [PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys	Form and Instruction
2024 EIS Conference Customer Service Feedback Survey Att_1_EIS_Conf_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
2024 EIS Conference Customer Service Feedback Survey Att_1_EIS_Conf_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
2024 EIS Match Customer Service Feedback Survey Att_6_EIS_Match_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
2024 EIS Match Customer Service Feedback Survey Att_6_EIS_Match_Cust_Serv_Fdbk_Survey.docx	Form and Instruction
Att_2_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Conference Survey Screenshots	IC Document
Att_2_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Conference Survey Screenshots	IC Document
Att_3_EIS_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx Conference Invitation Email	IC Document
Att_3_EIS_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx Conference Invitation Email	IC Document
Att_4_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Conference Reminder Email	IC Document
Att_4_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Conference Reminder Email	IC Document
Att_5_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.pdf Conference Flyer	IC Document
Att_5_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.pdf Conference Flyer	IC Document
Att_7_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Match Survey Screenshots	IC Document
Att_7_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shots.docx Match Survey Screenshots	IC Document
Att_8_EIS_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx Match Invitation Email	IC Document
Att_8_EIS_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx Match Invitation Email	IC Document
Att_9_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Match Reminder Email	IC Document
Att_9_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx Match Reminder Email	IC Document
SSA_New_Requirements_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx Summary Information	IC Document
SSA_New_Requirements_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx Summary Information	IC Document
GenIC_Request_EIS_Conf_Match_Cust_Serv_Fdbk_Survey_final.docx GenIC Request Template	IC Document
GenIC_Request_EIS_Conf_Match_Cust_Serv_Fdbk_Survey_final.docx GenIC Request Template	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[PHIC] 2024 Epidemic Intelligence Service (EIS) Conference and Match Customer Service Feedback Surveys

Agency IC Tracking Number:

0920-1050-24EA

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: 1,475

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	1,475	1,475
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Conference Survey Screenshots		03/26/2024
Conference Invitation Email		03/26/2024
Conference Reminder Email		03/26/2024
Conference Flyer		03/26/2024
Match Survey Screenshots		03/26/2024
Match Invitation Email		03/26/2024
Match Reminder Email		03/26/2024
Summary Information		03/26/2024
GenIC Request Template		03/26/2024

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

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