Information Collection

CDC INFO - Emergency Response Surveys - Levels 1-4 Emergency - Professionals

IC 180279 under ICR 201010-0920-009 · OMB 0920-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0753 can be found here:

Documents and Forms

Document Name Document Type
CDC INFO - Emergency Response Surveys - Levels 1-4 Emergency - Professionals Form
Attachments Z and AA - Emergency Response Surveys - Leve 0920-05CO CDC INFO Attachments Z and AA_2007-02-22.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDC INFO - Emergency Response Surveys - Levels 1-4 Emergency - Professionals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form	None	Attachments Z and AA - Emergency Response Surveys - Levels 1-4 Emergency - Professionals	0920-05CO CDC INFO Attachments Z and AA_2007-02-22.doc	None	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 972,462	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-972,462	972,462
Annual IC Time Burden (Hours)	-81,039	81,039
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.