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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Improving State and Local Vector Control Program Performance and School Health "Water Toolkit" Assessment
Agency IC Tracking Number:
14AUG/14AUH
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
none
Vector Control Assessment
H_Self-assessment Instrument.doc
Yes
Yes
Fillable Fileable
Form
none
Water Toolkit Assessment
D_Assessmt Instrument Web.docx
Yes
Yes
Fillable Fileable
Form
none
Water Feedback
F_Feedback Tool Web.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
262
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
262
0
262
0
0
0
Annual IC Time Burden (Hours)
275
0
275
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Vector Control SS Part A
IUD0-VC-PI-SSA.docx
08/28/2014
Vector Control SS Part B
IUD0-VC-PI-SSB.docx
08/28/2014
Vector Control Att A
A_WNV Cases.pdf
08/28/2014
Vector Control Att B
B_Vector Ctrl Capacity.pdf
08/28/2014
Vector Control Att C
C_Budget Cuts.pdf
08/28/2014
Vector Control Att D
D_Vector Ctrl Needs.pdf
08/28/2014
Vector Control Att E
E_NPHPSP Factsheet.pdf
08/28/2014
Vector Control Att F
F_EnvPHPS_PI.pdf
08/28/2014
Vector Control Att G
G_EnvPHPS Descript.pdf
08/28/2014
Vector Control Att I
I_Invitation Email.doc
08/28/2014
Vector Control Att J
J_Reminder Email.doc
08/28/2014
Water Toolkit SS Part A
XXH8-SHB-WATER-SSA.docx
08/28/2014
Water Toolkit SS Part B
XXH8-SHB-WATER-SSB.docx
08/28/2014
Water Tooklit Att A
A_Water Availability.pdf
08/28/2014
Water Toolkit Att B
B_Water Toolkit.pdf
08/28/2014
Water Toolkit Att C
C_Assessmt Instrument Word.docx
08/28/2014
Water Toolkit Att E
E_Feedback Tool Word.docx
08/28/2014
Water Toolkit Att G
G_AI Notification Email.docx
08/28/2014
Water Toolkit Att H
H_AI Reminder Email (Week 2).docx
08/28/2014
Water Toolkit Att I
I_AI Reminder Email (Week 3).docx
08/28/2014
Water Toolkit Att J
J_FT Notification Email.docx
08/28/2014
Water Toolkit Att K
K_FT Reminder Email (Week 2).docx
08/28/2014
Water Toolkit Att L
L_FT Reminder Email (Week 3).docx
08/28/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.