Information Collection

[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants

IC 279434 under ICR 202506-0920-002 · OMB 0920-1050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - EIS Applicants [PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants	Form and Instruction
Form 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - PHAP Applicants [PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants	Form and Instruction
0920-1050 2026 CDC eFMS Customer Satisfaction Survey - EIS Applica Att1_2026 eFMS Host Site Survey.docx	Form and Instruction
0920-1050 2026 CDC eFMS Customer Satisfaction Survey - PHAP Applic Att1_2026 eFMS Host Site Survey.docx	Form and Instruction
Att3a_eFMS EIS Host Invite.docx eFMS EIS Host Invite	IC Document
Att3b_eFMS_PHAP Host Invite.docx eFMS PHAP Host Invite	IC Document
Att4a_eFMS EIS Host Reminder.docx eFMS EIS Host Reminder	IC Document
Att4b_eFMS PHAP Host Reminder.docx eFMS PHAP Host Reminder	IC Document
Att2a_eFMS EIS Host_ScrnShots.docx eFMS EIS Host Site Survey Screenshots	IC Document
Att2b_eFMS PHAP Host_ScrnShots.docx eFMS PHAP Host Site Survey Screenshots	IC Document
2026 eFMS CS Sur_Bullet Points.docx eFMS Summary	IC Document
0920-1050 2026 eFMS CS Survey.docx 0920-1050 eFMS Host Site Survey GenIC Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-26-0136

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	0920-1050			N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1050			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: 150

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	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
eFMS EIS Host Invite		03/11/2026
eFMS PHAP Host Invite		03/11/2026
eFMS EIS Host Reminder		03/11/2026
eFMS PHAP Host Reminder		03/11/2026
eFMS EIS Host Site Survey Screenshots		03/11/2026
eFMS PHAP Host Site Survey Screenshots		03/11/2026
eFMS Summary		03/11/2026
0920-1050 eFMS Host Site Survey GenIC Template		03/11/2026

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

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