Influenza Capacity Platforms during Ebola Response Efforts in Africa

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCIRD)

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Influenza Capacity Platforms during Ebola Response Efforts in Africa	Agency IC Tracking Number:	15AE

IC Status: New

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 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 %

	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

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.