View Information Collection (IC)

View Information Collection (IC)

Feasibility of Publicly Funded Tick and Tick-Borne Disease Management Programs in NJ (high incidence state) 0920-1050-22CN
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1150 A survey of NJ Local and County Public Health Agencies Regarding Tick and Tick-borne Disease Managment 2022 NJ LCHD Survey Instrument.pdf Yes Yes Fillable Fileable
Form 0920-1150 A Survey of NJ Mosquito Control Agencies Regarding the Management of Ticks and Tick-borne Disease 2022 NJ MCA Survey Instrument.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

115 0
   
Individuals or Households
 
   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 115 0 115 0 0 0
Annual IC Time Burden (Hours) 39 0 39 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Supporting Statement A_GenIC_TickControlSurvey_NJ_021822.docx 02/28/2022
Supporting Statement B Supporting Statement B_GenIC_TickControlSurvey_NJ_021822.docx 02/28/2022
Authorizing Legislation Att 1. Section 301 of the Public Health Service Act (42 USC 241).pdf 02/28/2022
NJ MCA Survey (screenshots) Att 2 2022 NJ MCA Survey Screenshots.pdf 02/28/2022
NJ LCHD Survey (screenshots) Att 3 2022 NJ LCHD Survey Screenshots.pdf 02/28/2022
Email Invitation Att 4 2022 NJ SURVEYS - Email Invitation and Reminder text.docx 02/28/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.