View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Re-entry Messaging Following a Radiation Emergency
Agency IC Tracking Number:
17AHA
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
Other-WORD
Att A Screenr Reentry Mssgs.docx
No
Fillable Printable
Other-WORD
Att C Reentry Mod guide.docx
No
Paper Only
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:
24
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
48
0
48
0
0
0
Annual IC Time Burden (Hours)
44
0
44
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att B_Radiation Reentry Message
Att B Reentry mssgs.docx
04/26/2017
Att D_Participant Information Sheet
Att D Partpnt Info Sheet Fcs Grps.docx
04/26/2017
Att E_Protocol Detail
Att E Reentry Messages_ Protocol.docx
04/26/2017
Att F_Scenario
Att F Sample Reentry Scenario.docx
04/26/2017
Re-Entry Message Summary
Reentry messages project summary.docx
04/26/2017
NCEH/ATSDR HSR Determination
NCEH-ATSDR Research Determination Form-OSSigned.pdf
04/26/2017
ORAU IRB
ORAU approval letter_Reentry Messages.pdf
04/26/2017
HMTS Expedited Review Form
HMTSExpeditedReviewForm-Msg Rentry.pdf
04/26/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.