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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OADC] Infant Feeding Message Testing in Radiation Emergencies
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
Form and Instruction
n/a
Infant Feeding Screening Instrument
A. Infant Feeding Protocol - Att A - Screening Instrument (PRA) v2.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Infant Feeding Moderators Guide
D. Infant Feeding Protocol - Att D - Moderators Guide (PRA) v2.docx
Yes
Yes
Fillable Fileable
Other-Info Sheet
E. Infant Feeding Protocol - Att E - Participant Info Sheet (PRA) v2.docx
Yes
Yes
Fillable Fileable
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:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
220
0
220
0
0
0
Annual IC Time Burden (Hours)
96
0
96
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Recruitment Grid Template
B. Infant Feeding Protocol - Att B - Recruitment Grid Template v2.xlsx
05/02/2024
Test Messages
C. Infant Feeding Protocol - Att C - Messages.docx
05/02/2024
Protocol Details
F. Infant Feeding Protocol - Att F - Protocol Details.docx
05/02/2024
GenIC Request Template
G. Health Message Testing System Expedited Review Form v2.docx
05/02/2024
HMTS Questions Referenced
H. HMTS Questions Referenced in Infant Feeding Testing.docx
05/02/2024
Research Determination
I. IRB Approval (R-Exempt) - ORAU001127 - RSP Infant Feeding.pdf
05/02/2024
List of Attachments
LIst of Attachments.docx
05/02/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.