View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Mass Gathering Outbreaks: Assessment of Frequency, Policy and Communication Strategies
Agency IC Tracking Number:
15BEA
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
Survey Screenshots
Att. E Data Collection Instrument-Online version.docx
Yes
Yes
Fillable Fileable
Instruction
Att. D Survey Intro Screen.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:
81
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
81
0
81
0
0
0
Annual IC Time Burden (Hours)
41
0
41
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SS Part A
MASSGATHER-SSA.docx
08/20/2015
SS Part B
MASSGATHER-SSB.docx
08/20/2015
List of Epidemiologists
Att. A State Health Department Epidemiologists.docx
08/20/2015
List of Local Health Departments
Att. B Local Health Department Directors.docx
08/20/2015
CDC Presentation to DHHS
Att. C CDC presentation to DHHS.pdf
08/20/2015
CSTE Letter of Support
Att. F CSTE Letter of Support.docx
08/20/2015
NACCHO letter of Support
Att. G - NACCHO Letter of Support.docx
08/20/2015
Invitation Email
Att. H Invitation email.docx
08/20/2015
Reminder Email
Att. I Reminder email.docx
08/20/2015
Final Email
Att. J Final email.docx
08/20/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.