View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Public Health Law Training and Technical Assistance Needs Assessment and Pandemic Influenza Nonpharmaceutical Interventions	Agency IC Tracking Number:

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	1				Yes	Yes	Fillable Fileable
Form and Instruction	2				Yes	Yes	Fillable Fileable
Form and Instruction	3				Yes	Yes	Fillable Fileable
Form and Instruction	4				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 853	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 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	853	0	0	0	0	0
Annual IC Time Burden (Hours)	246	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
PH Law Supporting_Statement_PART-A		05/24/2012
PH LawSupporting_Statement_PART-B		05/24/2012
PH Law_Attach-A_Public Health Law Program Brochure		05/24/2012
PH Law _Attach-E Survey Notification Email		05/24/2012
PH Law_Attach-F_Survey Reminder Email		05/24/2012
PHLaw_Attach-B_ Core Legal Competencies for PH Professionals		05/24/2012
Attachment A_NonPharm PanFlu Overview of Focus groups_2009_2011		05/24/2012
Attachment B_NonPharm PanFlu_STLT_NA_KII_ToplineReport		05/24/2012
Attachment E_NonPharm PanFlu_AdvanceNotificationEmail		05/24/2012
Attachment F_NonPharm PanFlu_SurveyRecruitmentEmail		05/24/2012
Attachment G_NonPharm PanFlu_SurveyReminderEmails		05/24/2012
CIICU_STLT_NonPharm PanFlu_SupportingStatement A		05/24/2012
CIICU_STLT_NonPharm PanFlu_SupportingStatement B		05/24/2012

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

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