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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[PHIC] 2026 Epidemic Intelligence Service (EIS) Supervisor and Exit Survey	Agency IC Tracking Number:	0920-26-0168

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1163	2026 EIS Supervisor Survey	Att. 1_2026 EIS Supervisor Survey.docx	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1163	2026 EIS Supervisor Exit Survey	Att. 5_2026 EIS Supervisor Exit Survey.docx	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 %

	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

Title	Document	Date Uploaded
2026 EIS Supervisor Survey_Invitation Email	Att. 3_2026 EIS Supervisor Survey_Invitation Email.docx	04/03/2026
2026 EIS Supervisor Survey_Reminder Email	Att. 4_2026 EIS Supervisor Survey_Reminder Email.docx	04/03/2026
2026 EIS Supervisor Exit Survey_Invitation Email	Att. 7_2026 EIS Supervisor Exit Survey_Invitation Email.docx	04/03/2026
2026 EIS Supervisor Exit Survey_Reminder Email	Att. 8_2026 EIS Supervisor Exit Survey_Reminder Email.docx	04/03/2026
2026 EIS Supervisor Survey_Screenshots	Att. 2_2026 EIS Supervisor Survey_Screenshots.docx	04/03/2026
2026 EIS Supervisor Exit Survey_Screenshots	Att. 6_2026 EIS Supervisor Exit Survey_Screenshots.docx	04/03/2026
0920-1163 GenIC Request Template	GenIC Req_0920-1163_2026 EIS Supervisor and Exit Survey.docx	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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