Information Collection

[PHIC] 2026 Epidemiology Elective Program (EEP) Supervisor Exit Survey

IC 278883 under ICR 202506-0920-002 · OMB 0920-1050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2026 Epidemiology Elective Program Supervisor Exit Survey [PHIC] 2026 Epidemiology Elective Program (EEP) Supervisor Exit Survey	Form and Instruction
2026 Epidemiology Elective Program Supervisor Exit Surve Att. 1_2026 EEP Supervisor_Survey.docx	Form and Instruction
Att. 2_2026 EEP Sup Exit_Scr.docx Survey Screenshots	IC Document
Att. 3_2026 EEP Sup Exit_InvEm.docx Invitation Email	IC Document
Att. 4_2026 EEP Sup Exit_RemEm.docx Reminder Email	IC Document
GenIC Req 0920-1050 EEP Sup Survey_final.docx GenIC Request Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-26-0023

IC Status: New

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

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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