View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No: 0920-1417	ICR Reference No: 202610-0920-018
Status: Received in OIRA	Previous ICR Reference No: 202506-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0232
Title: [CPR] Public Health Emergency Management Capacity Assessment Tool (PHEM TOOL)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/22/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	12	12
Time Burden (Hours)	72	72
Cost Burden (Dollars)	0	0

Annual Cost to Federal Government: $12,636

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Odion Clunis 770 488-0045 lta2@cdc.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.