View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	HMTS Radiation Focus Group and Emergencies Infographics	Agency IC Tracking Number:

IC Status: Unchanged

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
Other-Word			Att C_RRS Screening Inst 091213.docx		No	No	Fillable Printable
Other-Word			Att C-1 ORIG Screenng Instrmnt Word 20130912.docx		Yes	Yes	Fillable Printable
Other-Word			Att E_Moderator Guide 20130912.docx		No	No	Fillable Printable
Other-Word			Att C-2 ORIGScreenngInstrmntScreenshots.pdf		Yes	Yes	Fillable Printable
Other-WORD			Att E-1 ORIG Survey Questions Word 20130815.docx		Yes	Yes	Fillable Printable
Other-WORD			Att E-2ORIGSurveyScreenshots8.19.pdf		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,088	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	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	2,088	0	0	0	0	2,088
Annual IC Time Burden (Hours)	372	0	0	0	0	372
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Att A_RRS Protocol Summary 20130912	Att A_RRS Protocol Summary 20130912.docx	09/16/2013
Att B_RRS Protocol 20130912 (2)	Att B_RRS Protocol 20130912 (2).docx	09/16/2013
Att D_RRS Participant Info Sheet 20130912	Att D_RRS Participant Info Sheet 20130912.docx	09/16/2013
Att F_Radiation Risk Scale 20130806	Att F_Radiation Risk Scale 20130806.pdf	09/16/2013
Radiation Risk Scale List of Attchmnts 20130806	Radiation Risk Scale List of Attchmnts 20130806.docx	09/16/2013
Att A ORIG Protocol Summary 20130815	Att A ORIG Protocol Summary 20130815.docx	09/16/2013
Att B ORIG Protocol 20130815	Att B ORIG Protocol 20130815.docx	09/16/2013
Att D ORIG Prtcpnt Info Webpage 20130815	Att D ORIG Prtcpnt Info Webpage 20130815.docx	09/16/2013
ORIG List of Attchmnts 20130815	ORIG List of Attchmnts 20130815.docx	09/16/2013
HMTS Expedited Review Form Rad Risk Scale 20130806	HMTS Expedited Review Form Rad Risk Scale 20130806.pdf	09/19/2013
HMTS Expedited Review Form Online Rad Infographics	HMTS Expedited Review Form Online Rad Infographics.pdf	09/19/2013

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