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) Unchanged 62 31 983 Form and Instruction n/a
COVID-19 Pandemic Response (RSP) New 62 75 0 Form and Instruction 0920-1352
Capability 10: Medical Surge Modified 62 124 3931 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 11: Nonpharmaceutical Inverventions Modified 62 93 2948 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 12: Public Health Laboratory Testing Unchanged 62 93 2948 Form and Instruction n/a
Capability 13: Public Health Surveillance and Epidemiological Investigation Modified 62 155 4914 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 14: Responder Safety and Health Modified 62 93 2948 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 15: Volunteer Management Unchanged 62 78 2457 Form and Instruction n/a
Capability 1: Community Preparedness Modified 62 62 1965 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 2: Community Recovery Unchanged 62 62 1965 Form and Instruction n/a
Capability 3: Emergency Operations Coordination Modified 62 124 3931 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 4: Emergency Public Information and Warning Modified 62 93 2948 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 5: Fatality Management Modified 62 155 4914 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 6: Information Sharing Modified 62 62 1965 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 7: Mass Care Modified 62 124 3931 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 8: Medical Countermeasure Dispensing and Administration Modified 62 186 5896 Form and Instruction n/a
Form and Instruction 0920-1352
Capability 9: Medical Material Management and Distribution Modified 62 202 6388 Form and Instruction n/a
Form and Instruction 0920-1352
Critical Contact Sheet Modified 62 83 265 Form and Instruction n/a
Form and Instruction 0920-1352
Dispensing Throughput Drill Modified 4 1 25 Form and Instruction n/a
Form and Instruction 0920-1352
Facility Setup Drill Modified 4 3 95 Form and Instruction n/a
Form and Instruction 0920-1352
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised Unchanged 4 0 13 Form and Instruction n/a
Five-year Dispensing Full-scale Exercise or Incident Modified 4 0 13 Form and Instruction n/a
Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse Modified 62 31 983 Form and Instruction n/a
Form and Instruction 0920-1352
Form and Instruction 0920-1352
Joint Exercise with Emergency Management and Health Care Coalitions (Par 3) Unchanged 62 6 197 Form and Instruction n/a
Jurisdictional Data Sheet (JDS) Modified 62 155 4914 Form and Instruction n/a
Form and Instruction 0920-1352
Jurisdictional Structure Sheet Unchanged 62 186 5896 Form and Instruction n/a
Ops 1 Modified 186 62 1965 Form and Instruction n/a
Form and Instruction 0920-1352
Ops 2 Modified 186 47 1474 Form and Instruction n/a
Form and Instruction 0920-1352
Partner Planning Sheet Modified 62 496 15723 Form and Instruction n/a
Form and Instruction 0920-1352
Partner Role (Par 1) Unchanged 62 16 491 Form and Instruction n/a
Site Activation Drill Modified 4 4 127 Form and Instruction n/a
Form and Instruction 0920-1352
Staff Notification and Assembly Drill Modified 4 4 127 Form and Instruction n/a
Form and Instruction 0920-1352
Tabletop Exercise (TTX) Modified 62 93 2948 Form and Instruction n/a
Form and Instruction 0920-1352
Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC) New 62 143 0 Form and Instruction 0920-1352
Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident) Modified 62 12 393 Form and Instruction n/a
Form and Instruction 0920-1352
Vaccination of Critical Workforce (Immunization Information System) Modified 62 12 393 Form and Instruction n/a
Form and Instruction 0920-1352
Vaccination of Critical Workforce (Point of Dispensing) Modified 62 12 393 Form and Instruction n/a
Form and Instruction 0920-1352
Workforce Development and Training Modified 62 93 2948 Form and Instruction n/a
Form and Instruction 0920-1352
Total burden requested under this ICR: 2256 3271 94415  
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