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[CPR] Pilots Evaluation of Interventions for Building Resilience for State and Local Health Department Staff Responding to Public Health Emergencies 0920-1154-24EB
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-24EB Pilot Evaluation Pre-Implementation Survey AttA-SurveyPrePost_4-22-2024.docx Yes Yes Fillable Fileable
Form 0920-24EB Pilot Evaluation POST-Implementation Survey AttA-SurveyPrePost_4-22-2024.docx Yes Yes Fillable Fileable
Form 0920-24EB Staff Focus Groups AttC-FocusGroup-Staff.docx Yes Yes Fillable Fileable
Form 0920-24EB Leader Focus Groups AttC-FocusGroup-Staff.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

884 0
   
Individuals or Households
 
   0 %

  Requested 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 884 0 0 0 0 884
Annual IC Time Burden (Hours) 284 0 0 0 0 284
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request ORR-0920-1154-GenIRequestTemplate-BuildingResilience.docx 04/30/2024
SSA ORR-SSA-1154-BuildingResilience (1).docx 04/30/2024
SSB ORR-SSB-1154-BuildingResilience.docx 04/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.