Information Collection

Interview Protocol for Public Health Preparedness Coalition Leader

IC 197250 under ICR 201105-0920-002 · OMB 0920-0887.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview Protocol for Public Health Preparedness Coalition Leader	Form
Protocol for PH Preparedness clean_Attachment D--Interview Protocol 2--Public Health and Preparedness Coalition Leader 3-4.doc	Form

IC Title:

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
Form	none	Protocol for PH Preparedness	clean_Attachment D--Interview Protocol 2--Public Health and Preparedness Coalition Leader 3-4.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
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.