Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Access and Functional Needs Exercise Accommodations or Actions (Par 2) New 62 31 983 Form and Instruction n/a
Capability 10: Medical Surge New 62 124 3931 Form and Instruction n/a
Capability 11: Nonpharmaceutical Inverventions New 62 93 2948 Form and Instruction n/a
Capability 12: Public Health Laboratory Testing New 62 93 2948 Form and Instruction n/a
Capability 13: Public Health Surveillance and Epidemiological Investigation New 62 155 4914 Form and Instruction n/a
Capability 14: Responder Safety and Health New 62 93 2948 Form and Instruction n/a
Capability 15: Volunteer Management New 62 78 2457 Form and Instruction n/a
Capability 1: Community Preparedness New 62 62 1965 Form and Instruction n/a
Capability 2: Community Recovery New 62 62 1965 Form and Instruction n/a
Capability 3: Emergency Operations Coordination New 62 124 3931 Form and Instruction n/a
Capability 4: Emergency Public Information and Warning New 62 93 2948 Form and Instruction n/a
Capability 5: Fatality Management New 62 155 4914 Form and Instruction n/a
Capability 6: Information Sharing New 62 62 1965 Form and Instruction n/a
Capability 7: Mass Care New 62 124 3931 Form and Instruction n/a
Capability 8: Medical Countermeasure Dispensing and Administration New 62 186 5896 Form and Instruction n/a
Capability 9: Medical Material Management and Distribution New 62 202 6388 Form and Instruction n/a
Critical Contact Sheet New 62 83 265 Form and Instruction n/a
Dispensing Throughput Drill New 4 1 25 Form and Instruction n/a
Facility Setup Drill New 4 3 95 Form and Instruction n/a
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised New 4 0 13 Form and Instruction n/a
Five-year Dispensing Full-scale Exercise or Incident New 4 0 13 Form and Instruction n/a
Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse New 62 31 983 Form and Instruction n/a
Joint Exercise with Emergency Management and Health Care Coalitions (Par 3) New 62 6 197 Form and Instruction n/a
Jurisdictional Data Sheet (JDS) New 62 155 4914 Form and Instruction n/a
Jurisdictional Structure Sheet New 62 186 5896 Form and Instruction n/a
Ops 1 New 186 62 1965 Form and Instruction n/a
Ops 2 New 186 47 1474 Form and Instruction n/a
Partner Planning Sheet New 62 496 15723 Form and Instruction n/a
Partner Role (Par 1) New 62 16 491 Form and Instruction n/a
Site Activation Drill New 4 4 127 Form and Instruction n/a
Staff Notification and Assembly Drill New 4 4 127 Form and Instruction n/a
Tabletop Exercise (TTX) New 62 93 2948 Form and Instruction n/a
Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident) New 62 12 393 Form and Instruction n/a
Vaccination of Critical Workforce (Immunization Information System) New 62 12 393 Form and Instruction n/a
Vaccination of Critical Workforce (Point of Dispensing) New 62 12 393 Form and Instruction n/a
Workforce Development and Training New 62 93 2948 Form and Instruction n/a
Total burden requested under this ICR: 2132 3053 94415  
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