View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Best Practices for COVID-19 Vaccination and Testing	Agency IC Tracking Number:

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-Instrument			ASPE_Generic_COVID_A-A.docx		Yes	Yes	Fillable Printable

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: 500	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	500	0	500	0	0	0
Annual IC Time Burden (Hours)	125	0	125	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Sheet	ASPE Generic_COVID_SSS.docx	07/18/2023
Supporting Statement A	ASPE_Generic_COVID_SS-A.docx	07/18/2023
Supporting Statement B	ASPE_Generic_COVID_SS-B.docx	07/18/2023
Attachment B - Outreach and Reminder Materials	ASPE_Generic_COVID_A-B.docx	07/18/2023

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