Information Collection

Key Informant Interviews for Emergency Risk Communication Improvement during the Ebola Response

IC 214487 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Emergency Risk Communication Evaluation Interview Guide_ External Partners.docx	Other-Interview Guide
06JAN2015 Request for Approval Emergency risk communication evaluation Service Delivery_GenIC_0920-1026.docx Request for Approval	IC Document
Attachment B_ Participation Email Invitation.docx Participation Email Invitation	IC Document
Attachment C_Interview doodle poll.png Interview Schedule - Interview Doodle Poll	IC Document
Attachment D_Confirmation to External Partners.docx Interview Confirmation to External Partners	IC Document
Attachment E_ External Partner Interview Participant Information Sheet.docx Interview Participant Information Sheet	IC Document

IC Title:

Agency IC Tracking Number:

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
Other-Interview Guide				None	No		Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	36	36
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval		01/06/2015
Participation Email Invitation		01/06/2015
Interview Schedule - Interview Doodle Poll		01/06/2015
Interview Confirmation to External Partners		01/06/2015
Interview Participant Information Sheet		01/06/2015

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

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