Information Collection

Survey Document for Radiological Messages Among Health Workers for E-Mail Participants

IC 183895 under ICR 200802-0920-013 · OMB 0920-0790.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attchment B - Email and Focus Group Survey Document.doc	Other-E-mail Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-E-mail Survey			Attchment B - Email and Focus Group Survey Document.doc		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,022

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,022	2,022
Annual IC Time Burden (Hours)	674	674
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.