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View Information Collection (IC)

Pandemic Influenza: Assessing the Feasibility and Acceptability of Implementing the 2017 Community Mitigation Guidelines and Recommendations (CMG-EVAL) 0920-0879-19AYW
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Other-Word version of survey to facilitate review of content No   Paper Only

Health Consumer Health and Safety

 

878 0
   
State, Local, and Tribal Governments
 
   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 878 0 878 0 0 0
Annual IC Time Burden (Hours) 1,317 0 1,317 0 0 0
Annual IC Cost Burden (Dollars) 48,501 0 48,501 0 0 0

Title Document Date Uploaded
Supporting Statement Part A 06/04/2019
Supporting Statement Part B 06/04/2019
Respondent Universe and Sample Tables 06/04/2019
Table Summary of Non-Pharmaceutical Interventions Reserved for Influenza Pandemics 06/04/2019
Recruitment Email Invitation 06/04/2019
Reminder Email for Non-Response 06/04/2019
Reminder Email for Partial Response 06/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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