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Strengthening Public Health Incident Management Through Continuous Quality Improvement 0920-1154-22BM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1255 Incident Background Information Attachment K - Incident Background Information_rev.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1255 Peer Assessor Protocol Attachment J - SOP for Peer Assessor_rev.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1255 IM Team Survey Attachment G - IM team survey.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1255 Interview Guide Attachment H - Interview Guide.docx Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

1,272 0
   
State, Local, and Tribal Governments
 
   95 %

  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 1,272 0 1,272 0 0 0
Annual IC Time Burden (Hours) 664 0 664 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA SSA-CPR-Incident Management_final.docx 01/06/2022
SSB SSB-CPR-IMSProject_final.docx 01/06/2022
GenIC Request Template 0920-1154GenICRequestTemplate-CPR-IMS Measures Testing_final.docx 01/06/2022
Construct List Attachment A - Construct list.docx 01/06/2022
Draft Measures To Test Attachment B - Measures to test.docx 01/06/2022
Authorizing Legislation Attachment C - Authorizing legislation.docx 01/06/2022
Site Recruitment Letter Attachment D - Site recruitment letter.docx 01/06/2022
Individual Recruitment Letter Attachment E - Individual recruitment letter.docx 01/06/2022
IRB Exemption Attachment F - IRB exemption.docx 01/06/2022
SOP for Site Level Coordinator Attachment I - SOP for Site Level Coordinator_rev.docx 01/06/2022
Potential Sites Attachment L - List of potential pilot sites.docx 01/06/2022
Sampling Frame Attachment M - Sampling frame_final.docx 01/06/2022
Data Reporting Template Attachment N - Data Reporting Template_rev.docx 01/06/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.