Information Collection

[PHIC] 2026 Epidemic Intelligence Service (EIS) Supervisor and Exit Survey

IC 279773 under ICR 202601-0920-010 · OMB 0920-1163.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1163 2026 EIS Supervisor Survey [PHIC] 2026 Epidemic Intelligence Service (EIS) Supervisor and Exit Survey	Form and Instruction
Form 0920-1163 2026 EIS Supervisor Exit Survey [PHIC] 2026 Epidemic Intelligence Service (EIS) Supervisor and Exit Survey	Form and Instruction
0920-1163 2026 EIS Supervisor Survey Att. 1_2026 EIS Supervisor Survey.docx	Form and Instruction
0920-1163 2026 EIS Supervisor Exit Survey Att. 5_2026 EIS Supervisor Exit Survey.docx	Form and Instruction
Att. 3_2026 EIS Supervisor Survey_Invitation Email.docx 2026 EIS Supervisor Survey_Invitation Email	IC Document
Att. 4_2026 EIS Supervisor Survey_Reminder Email.docx 2026 EIS Supervisor Survey_Reminder Email	IC Document
Att. 7_2026 EIS Supervisor Exit Survey_Invitation Email.docx 2026 EIS Supervisor Exit Survey_Invitation Email	IC Document
Att. 8_2026 EIS Supervisor Exit Survey_Reminder Email.docx 2026 EIS Supervisor Exit Survey_Reminder Email	IC Document
Att. 2_2026 EIS Supervisor Survey_Screenshots.docx 2026 EIS Supervisor Survey_Screenshots	IC Document
Att. 6_2026 EIS Supervisor Exit Survey_Screenshots.docx 2026 EIS Supervisor Exit Survey_Screenshots	IC Document
GenIC Req_0920-1163_2026 EIS Supervisor and Exit Survey.docx 0920-1163 GenIC Request Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-26-0168

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	0920-1163			N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1163			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: 42

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	42	42
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2026 EIS Supervisor Survey_Invitation Email		04/03/2026
2026 EIS Supervisor Survey_Reminder Email		04/03/2026
2026 EIS Supervisor Exit Survey_Invitation Email		04/03/2026
2026 EIS Supervisor Exit Survey_Reminder Email		04/03/2026
2026 EIS Supervisor Survey_Screenshots		04/03/2026
2026 EIS Supervisor Exit Survey_Screenshots		04/03/2026
0920-1163 GenIC Request Template		04/03/2026

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

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