View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCEH] EHS-Net Outbreak Prevention & Response Practices Study
Agency IC Tracking Number:
0920-0792-24CE
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
n/a
Manager Interview
A3 Manager InterviewFINAL_revOS.docx
Yes
No
Fillable Fileable
Form and Instruction
n/a
Worker Interview
A4 Worker InterviewFINAL_revOS.docx
Yes
No
Fillable Fileable
Form and Instruction
n/a
Observation
A5 ObservationFINAL_revOS.docx
Yes
No
Fillable Fileable
Form and Instruction
n/a
Recruitment Script
A6 - Recruitment Script_RevOS.docx
Yes
No
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:
2,110
Number of Respondents for Small Entity:
1,055
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
2,110
0
2,110
0
0
0
Annual IC Time Burden (Hours)
549
0
549
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Authorizing Legislation
A1 Auth Legislation.docx
01/24/2024
EHS-NET Publications
A2 EHS-Net Publications.docx
01/24/2024
Research Determination
7479 Exempt Research Approval.pdf
01/24/2024
Study Protocol
OPRStudyProtocol_revOS 20240118.docx
01/24/2024
SSA
EHS-Net OPR SSAv2_OS_final.docx
01/24/2024
SSB
EHS-Net OPR SSB_revOS.docx
01/24/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.