View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	HURRICANE MARIA NATIONAL CONSTRUCTION SAFETY TEAM INVESTIGATION: CHARACTERIZATION OF DEATHS AND INJURIES (DI) IN PUERTO RICO AFTER HURRICANE MARIA HOSPITAL INTERVIEWS	Agency IC Tracking Number:	ER

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-Interview Script			0693-0078_ Hospital Clinical Personnel Interview Script.docx		No		Paper Only
Other-Interview Script			0693-0078_Hospital Administration Personnel Interview Script.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	48	0	48	0	0	0
Annual IC Time Burden (Hours)	48	0	48	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	0693-0078_Hospital Interviews Supporting Statement.docx	05/19/2022
Informed Consent	Informed Consent.pdf	05/19/2022

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