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Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Medical Countermearsure Training Needs Assessment
Agency IC Tracking Number:
18ADS
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-Electronic Version
Attachment E - Training Needs Electronic Assessment, Web Version Screenshots.docx
Yes
Yes
Fillable Fileable
Other-Electronic version
Attachment G - Virtual Group Interview Sign-up Form, Web Version Screenshots.docx
Yes
Yes
Fillable Fileable
Other-Electronic Version
Attachment I - Virtual Group Interview Discussion Guide, Web Version Screenshots.docx
Yes
Yes
Fillable Fileable
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:
2,174
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
2,174
0
2,174
0
0
0
Annual IC Time Burden (Hours)
637
0
637
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att D_Training Needs Assessment, WORD Version
Attachment D - Training Needs Electronic Assessment, Word Version.docx
05/23/2018
Att F_Virtual Group Interview SIgn-Up, WORD Version
Attachment F - Virtual Group Interview Sign-up Form, Word Version.docx
05/23/2018
Att H_Virtual Group Interview DIscussion Guide, WORD Version
Attachment H - Virtual Group Interview Discussion Guide, Word Version.docx
05/23/2018
Att A_MCM Coordinator - Common Responsibilities and Associated Skills
Attachment A - MCM Coordinator Common Responsibilities and Associated Skills.pdf
05/23/2018
Att B_Sample of MCM Officials Table
Attachment B - Sample of MCM Officials Table.docx
05/23/2018
Att C_Respondent Universe
Attachment C - Respondent Universe.docx
05/23/2018
Att J_Electronic Assessment Invitational Email
Attachment J - Electronic Assessment Invitation Email.docx
05/23/2018
Att K_MCM Training Needs Assessment Advertisement
Attachment K - MCM Training Needs Assessment Advertisement.docx
05/23/2018
Att L_Electronic Assessment Reminder 1 Email
Attachment L - Electronic Assessment Reminder 1 Email.docx
05/23/2018
Att M_Electronic Assessment Reminder 2 Email
Attachment M - Electronic Assessment Reminder 2 Email.docx
05/23/2018
Att N_Reminder Phone Call Script
Attachment N - Reminder Phone Call Script.docx
05/23/2018
Att O_Group Interview Notification Email
Attachment O - Group Interview Notification Email.docx
05/23/2018
Att P_Group Interview Reminder Email
Attachment P - Group Interview Reminder Email.docx
05/23/2018
Supporting Statement A
MCM-NEEDS-SSA. FINAL.docx
05/24/2018
Supporting Statement B
MCM-NEEDS-SSB. FINAL.docx
05/24/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.