Information Collection

Influenza Capacity Platforms during Ebola Response Efforts in Africa

IC 213801 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Influenza Capacity Platforms during Ebola Response Efforts in Africa	Form and Instruction
Influenza Capacities and Ebola Response Efforts - Survey Attachment A_Survey_Influenza Capacities and Ebola Response Efforts.pdf	Form and Instruction
REQUEST Service Delivery_GenIC_Influenza Capacity Platforms during Ebola Response Efforts in Africa REV 11 10 2014.docx Request for GenIC Approval 0920-1026	IC Document
Attachment B_Influenza Capacities and Ebola Response Efforts_Initial Invitation.docx Initial Invitation	IC Document
Attachment C_Influenza Capacities and Ebola Response Efforts_Follow up to Invitation.docx Follow-Up Invitation	IC Document

IC Title:

Agency IC Tracking Number:

15AE

IC Status: New

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 and Instruction	None	Influenza Capacities and Ebola Response Efforts - Survey	Attachment A_Survey_Influenza Capacities and Ebola Response Efforts.pdf	None	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for GenIC Approval 0920-1026	REQUEST Service Delivery_GenIC_Influenza Capacity Platforms during Ebola Response Efforts in Africa REV 11 10 2014.docx	11/10/2014
Initial Invitation	Attachment B_Influenza Capacities and Ebola Response Efforts_Initial Invitation.docx	11/10/2014
Follow-Up Invitation	Attachment C_Influenza Capacities and Ebola Response Efforts_Follow up to Invitation.docx	11/10/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.