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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2023 Epidemic Intelligence Service (EIS) Conference and Match Feedback Surveys
Agency IC Tracking Number:
0920-1050-23DZ
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
n/a
2023 EIS Conference Customer Service Feedback Survey
Att_1_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
2023 EIS Match Customer Service Feedback Survey
Att_6_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,184
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,184
0
1,184
0
0
0
Annual IC Time Burden (Hours)
73
0
73
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Customer Survey Screenshots
Att_2_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Screen_Shots.docx
04/13/2023
Customer Survey Invitation Email
Att_3_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Inv_Email.docx
04/13/2023
Customer Survey Reminder Email
Att_4_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Reminder_Email.docx
04/13/2023
Customer Survey Flyer
Att_5_0920-1050_2023_EIS_Conf_Cust_Serv_Fdbk_Survey_Flyer.pdf
04/13/2023
Match Survey Screenshots
Att_7_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Screen_Shots.docx
04/13/2023
Match Survey Invitation Email
Att_8_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Inv_Email.docx
04/13/2023
Match Survey Reminder Email
Att_9_0920-1050_2023_EIS_Match_Cust_Serv_Fdbk_Survey_Reminder_Email.docx
04/13/2023
Summary Information
SSA_New_Requirements_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey.docx
04/13/2023
GenIC Request Template
GenIC_Request_0920-1050_2023_EIS_Conf_Match_Cust_Serv_Fdbk_Survey_final.docx
04/13/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.