Information Collection

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

IC 278887 under ICR 202506-0920-002 · OMB 0920-1050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-26-0022 2026_EEP Student Exit_Survey [PHIC] 2026 Epidemiology Elective Program (EEP) Student Exit Survey	Form
0920-26-0022 2026_EEP Student Exit_Survey Att. 1_2026_EEP Student Exit_Surv.docx	Form
Att. 2_2026_EEP Student Exit_Scr.docx Screenshot	IC Document
Att.3 _2026 EEP Student Exit_InvEm.docx Invitation Email	IC Document
Att.4_2026 EEP Student Exit_RemEm.docx Reminder Email	IC Document
GenIC Req 0920-1050 EEP Student Exit Surv.docx Gen IC Request	IC Document

IC Title:

Agency IC Tracking Number:

0920-26-0022

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	0920-26-0022				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: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

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)	4	4
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].