View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Assessing Perceptions of Operational Planning Workshops to Facilitate Country Planning for Increasing Health Security Capacities	Agency IC Tracking Number:	0920-1050-21DL

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 and Instruction	0920-1050	Operational Planning Workshops Survey	SurveyMonkey_03.01.21.pdf		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: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	30	0	30	0	0	0
Annual IC Time Burden (Hours)	5	0	5	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Clearance Template	0920-1050 Customer Service GenIC Clearance Template_OP Workshops 03.01.2020.docx	03/02/2021
Survey Word version	SurveyMonkey_03.01.21.docx	03/02/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.