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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[CPR] Evaluation on Acceptability and Effectiveness of Pilot Project This is a Tabletop Exercise Simulation Tool (T.E.S.T.)
Agency IC Tracking Number:
0920-1154-23DF
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- 23DF
Attachment B_Immediate Post Exercise Survey Questions
Attachment B_Immediate Post Exercise Survey Questions.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-23DF
Attachment C_Follow Up Survey Questions
Attachment C_Follow Up Survey Questions.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-23DA
Attachment D_Focus Group Script
Attachment D_Focus Group Script.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
1,250
0
1,250
0
0
0
Annual IC Time Burden (Hours)
2,750
0
2,750
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att1-TEST Game Layout
Att1-TEST Game Layout.png
03/14/2023
Attachment 2 HSR Determination
Attachment 2 HSR Determination.pdf
03/14/2023
Attachment A_Participant Information
Attachment A_Participant Information.docx
03/14/2023
Attachment B_Immediate Post Exercise Survey Questions
Attachment B_Immediate Post Exercise Survey Questions.docx
03/14/2023
Att1a-TEST Rulebook_v1.1
Att1a-TEST Rulebook_v1.1.pdf
03/14/2023
GenICRequestTemplate_TEST
GenICRequestTemplate_TEST.docx
03/14/2023
SSA-CPR-ThisIsATEST
SSA-CPR-ThisIsATEST.docx
03/14/2023
SSB_ThisATest
SSB_ThisATest.docx
03/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.