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

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

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Form and Instruction
Form and Instruction
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IC Document
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[PHIC] 2026 eFMS Satisfaction Survey for EIS and PHAP Host Site Applicants 0920-26-0136
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - EIS Applicants Att1_2026 eFMS Host Site Survey.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1050 2026 CDC eFMS Customer Satisfaction Survey - PHAP Applicants Att1_2026 eFMS Host Site Survey.docx N/A Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

150 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150 0 150 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
eFMS EIS Host Invite Att3a_eFMS EIS Host Invite.docx 03/11/2026
eFMS PHAP Host Invite Att3b_eFMS_PHAP Host Invite.docx 03/11/2026
eFMS EIS Host Reminder Att4a_eFMS EIS Host Reminder.docx 03/11/2026
eFMS PHAP Host Reminder Att4b_eFMS PHAP Host Reminder.docx 03/11/2026
eFMS EIS Host Site Survey Screenshots Att2a_eFMS EIS Host_ScrnShots.docx 03/11/2026
eFMS PHAP Host Site Survey Screenshots Att2b_eFMS PHAP Host_ScrnShots.docx 03/11/2026
eFMS Summary 2026 eFMS CS Sur_Bullet Points.docx 03/11/2026
0920-1050 eFMS Host Site Survey GenIC Template 0920-1050 2026 eFMS CS Survey.docx 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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