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Federal forms, ICRs, and supporting documents

Information Collection

StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection

IC 221376 under ICR 201411-0920-012 · OMB 0920-1050.

Documents and Forms
Document Name
Document Type
Form
Form
Form and Instruction
Form
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection 16AIB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey Att2-ParPilotSurv2.docx Yes Yes Fillable Fileable
Form and Instruction none Focus group guide Att3-JurPilSurv2.docx Yes Yes Fillable Fileable
Form none Enrollment Att1a-Enrollmentv2.docx Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

700 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 700 0 700 0 0 0
Annual IC Time Burden (Hours) 700 0 700 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Information Collection Procedures FINAL_StopAnthrax Jurisdictional Pilot Test-Information Collection Procedures_042616.docx 05/04/2016
Program Briefing Presentation StopAnthrax Pilot Test Briefing Slides.pptx 05/04/2016
Posters Att1-Posters.pdf 05/04/2016
Testing Flowchart Att1b-PilTest.pdf 05/04/2016
Request for Approval 0920-1050-OPHPR-StopAnthrax Pilot Test Feedback-Approval Request.docx 05/04/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.