Information Collection

Mid-Year Report

IC 184073 under ICR 200909-0990-003 · OMB 0990-0326.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-Hospital Preparedness ProgramCopy of 12_18 Cooperative Agreement Tool OMB Version.xls	Instruction

IC Title:

Mid-Year Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction			0990-Hospital Preparedness ProgramCopy of 12_18 Cooperative Agreement Tool OMB Version.xls		No	No	Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62

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	Previously Approved
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	992	992
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.