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

Focus Group Testing and Survey of Radiological Event Messages for Public Health Workers

Documents and Forms

Document Name Document Type
Attchment B - Email and Focus Group Survey Document.doc Other-E-mail Survey

Information Collection (IC) Details

IC Title:	Survey Document for Radiological Messages Among Health Workers for E-Mail Participants	Agency IC Tracking Number:

Is this a Common Form? No		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
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 %

	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

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.