Information Collection

Logistics Evaluation for Implementation of Ultraviolet Decontamination and Reuse of Filtering Face Piece Respirators in Hospitals

IC 221517 under ICR 201406-0910-019 · OMB 0910-0497.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
0497 facepiece Interview Guide 5-13-2016.docx Other-focus group interview guide
0497 facepiece 5-13-2016.docx Other-Subject Information and Consen
0497 facepiece OMB memo-ss 5-13-2016.doc
Abbreviated supporting statement: Logistics Evaluation for Implementation of Ultraviolet Decontamination and Reuse of Filtering
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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
Other-focus group interview guide 0497 facepiece Interview Guide 5-13-2016.docx Yes No Printable Only
Other-Subject Information and Consent Form 0497 facepiece 5-13-2016.docx Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,099 0 3,099 0 0 0
Annual IC Time Burden (Hours) 232 0 232 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Abbreviated supporting statement: Logistics Evaluation for Implementation of Ultraviolet Decontamination and Reuse of Filtering Face Piece Respirators in Hospitals 0497 facepiece OMB memo-ss 5-13-2016.doc 05/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.