Information Collection

434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL

IC 197563 under ICR 200908-1090-001 · OMB 1090-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 434 FEMA_Questionn 434 FEMA_Questionnaire_Public_4_21_11 434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form
Form 435 FEMA_Questionn 435 FEMA_Questionnaire_Local_Officials_4_21_11 434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form
Form 436 NWS Overall Me 436 NWS Overall Measure 042211_FINAL 434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form
Form 437 HRSA BCRS NHSC 437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL 434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form
Form 438 HRSA BCRS NHSC 438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL 434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL	Form
434 FEMA_Questionn 434 FEMA_Questionnaire_Public_4_21_11 2011 434_FEMA_Questionnaire_Public_4_21_11.docx	Form
435 FEMA_Questionn 435 FEMA_Questionnaire_Local_Officials_4_21_11 2011 435_FEMA_Questionnaire_Local_Officials_4_21_11.docx	Form
436 NWS Overall Me 436 NWS Overall Measure 042211_FINAL 2011 436_ NWS Overall Measure 042211_FINAL.doc	Form
437 HRSA BCRS NHSC 437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL 2011 437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL.docx	Form
438 HRSA BCRS NHSC 438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL 2011 438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

434 FEMA_Q's_Public_4_21_11; 435 FEMA_Q's_Local_Officials_4_21_11; 436 NWS Overall Measure 042211_FINAL; 437HRSA BCRS NHSC 2011 Partic Q's_FINAL; 438 HRSA BCRS NHSC 2011 Partner Q's_FINAL

Agency IC Tracking Number:

434-438

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	434 FEMA_Questionnaire_Public_4_21_11	434 FEMA_Questionnaire_Public_4_21_11	2011 434_FEMA_Questionnaire_Public_4_21_11.docx	No		Paper Only
Form	435 FEMA_Questionnaire_Local_Officials_4_21_11	435 FEMA_Questionnaire_Local_Officials_4_21_11	2011 435_FEMA_Questionnaire_Local_Officials_4_21_11.docx	Yes	Yes	Fillable Fileable
Form	436 NWS Overall Measure 042211_FINAL	436 NWS Overall Measure 042211_FINAL	2011 436_ NWS Overall Measure 042211_FINAL.doc	Yes	Yes	Fillable Fileable
Form	437 HRSA BCRS NHSC 2011 Participant Questionnaire_	437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL	2011 437 HRSA BCRS NHSC 2011 Participant Questionnaire_FINAL.docx	Yes	Yes	Fillable Fileable
Form	438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINA	438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL	2011 438 HRSA BCRS NHSC 2011 Partner Questionnaire_FINAL.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,250	1,250
Annual IC Time Burden (Hours)	313	313
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.