View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	National Authority for Containment of Poliovirus Risk Mitigation Strategies Webinar Participant Feedback Polling Questions & Survey	Agency IC Tracking Number:	0920-1050-21DV

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-Focus group guide			Att1-RiskMitStratSurvey.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: 60	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	60	0	60	0	0	0
Annual IC Time Burden (Hours)	15	0	15	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
genIC Request Form	0920-1050-Customer Service GenIC Clearance Template_NAC RMS survey question_revised 03102021.docx	03/11/2021

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