View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Services and Value of Immunization Info Systems and Public Health Emergency Preparedness Capabilities
Agency IC Tracking Number:
14AXS/14AXR
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
SVIS - Immunization Info Systems Assessment
IIS_F-Online Instrument Web.docx
Yes
Yes
Fillable Fileable
Form
none
SVIS - Immunization Info Systems Interview
IIS_H-Interview Instrument.docx
Yes
Yes
Fillable Fileable
Form
none
Public Health Preparedness Capabilities Assessment
PDRA_O_PHEP Assessment_Web Version.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
454
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
80 %
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
454
0
454
0
0
0
Annual IC Time Burden (Hours)
435
0
435
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SVIS - Statement A
IIS-ESV-SSA_revised.docx
09/15/2014
SVIS - Statement B
IIS-ESV-SSB_revised.docx
09/15/2014
SVIS - A:Grantee List
IIS_A-CDC Grantee List.pdf
09/15/2014
SVIS - B:Functional Standards
IIS_B-IIS Functional Standards.pdf
09/15/2014
SVIS - C:Healthy People Brochure
IIS_C-Healthy People 2020.pdf
09/15/2014
SVIS - D:Bartlett Study
IIS_D-Bartlett Study.pdf
09/15/2014
SVIS - E:BRP Summary
IIS_E-BRP Summary.pdf
09/15/2014
SVIS - G:Online Assessment - word
IIS_G-Online Instrument Word.docx
09/15/2014
SVIS - I:Intro Email
IIS_I-Introductory Email.docx
09/15/2014
SVIS - J:Interview request
IIS_J-Interview Request.docx
09/15/2014
SVIS - K:Interview confirmation
IIS_K-Confirmation Interview.docx
09/15/2014
SVIS - L:Reminder email
IIS_L - Reminder Email.docx
09/15/2014
PRDA - Statement A
SIART-PDRA-SSA_revised.docx
09/15/2014
PRDA - Statement B
SIART-PDRA-SSB_revised.docx
09/15/2014
PRDA - A:Essential PH Services
PDRA_A_PH Services.pdf
09/15/2014
PRDA - B:Standards and Measures
PDRA_B_PHAB Standards_Measures.pdf
09/15/2014
PRDA - C:Emergency Support Function
PDRA_C_ESF 08.pdf
09/15/2014
PRDA - D:Preparedness funding
PDRA_D_2013 PHEP Funding.pdf
09/15/2014
PRDA - E:Preparedness Summary
PDRA_E_CDC PHPR Capabilities.pdf
09/15/2014
PRDA - F:Research Priorities in Preparedness
PDRA_F_Research Priorities.pdf
09/15/2014
PRDA - G:Response Research Centers
PDRA_G_PERRC Fact Sheet.pdf
09/15/2014
PRDA - H:Response Learning Centers
PDRA_H_PERLC Fact Sheet.pdf
09/15/2014
PRDA - I:Program updates
PDRA_I_PERRC Updates.pdf
09/15/2014
PRDA - J:APC Products
PDRA_J_APC Products.pdf
09/15/2014
PRDA - K:Progress report
PDRA_K_RWJF PBRN Report.pdf
09/15/2014
PRDA - L:Evidence report
PDRA_L_Evidence Report Mass Casualty Event.pdf
09/15/2014
PRDA - M:Legal Coordination for Preparedness
PDRA_M_PHEP Legal Checklist.pdf
09/15/2014
PRDA - N:Assessment - word
PDRA_N_PHEP Assessment_Word Version.docx
09/15/2014
PRDA -P:Advance email
PDRA_P_ASTHO Advance Email.docx
09/15/2014
PRDA - Q:NACCHO Advance Email
PDRA_Q_NACCHO Advance Email.docx
09/15/2014
PRDA -R:State Notification
PDRA_R_Notification Email_States.docx
09/15/2014
PRDA - S:Local Director Notification
PDRA_S_Notification Email_Locals.docx
09/15/2014
PRDA - T:Reminder
PDRA_T_Reminder Email_Non-response.docx
09/15/2014
PRDA -U:Reminder
PDRA_U_Reminder Email_Partial Response.docx
09/15/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.