Information Collection

Interview Protocol for Public Health Preparedness Coalition Leader

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interview Protocol for Public Health Preparedness Coalition Leader	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
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 %

	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

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.