StateTerritory preparedness staff data collection

HAvBed Assessment for to Prepare for Public Health Emergencies

Documents and Forms

Document Name Document Type
0990Attachment 2 HAvBED User Guide.pdf Instruction
0990-0344 Data Elements 0990-0344Attachment 2.doc Form

Information Collection (IC) Details

IC Title:	StateTerritory preparedness staff data collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			0990Attachment 2 HAvBED User Guide.pdf		No	No	Paper Only
Form	0990-0344	Data Elements	0990-0344Attachment 2.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,324	-11,532	17,856
Annual IC Time Burden (Hours)	18,972	-34,596	53,568
Annual IC Cost Burden (Dollars)	0	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.