Information Collection

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

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
StopAnthrax Test Messaging Program Jurisdictional Pilot Test-User Satisfaction Feedback Collection	Form
Survey Att2-ParPilotSurv2.docx	Form
Focus group guide Att3-JurPilSurv2.docx	Form and Instruction
Enrollment Att1a-Enrollmentv2.docx	Form
FINAL_StopAnthrax Jurisdictional Pilot Test-Information Collection Procedures_042616.docx Information Collection Procedures	IC Document
StopAnthrax Pilot Test Briefing Slides.pptx Program Briefing Presentation	IC Document
Att1-Posters.pdf Posters	IC Document
Att1b-PilTest.pdf Testing Flowchart	IC Document
0920-1050-OPHPR-StopAnthrax Pilot Test Feedback-Approval Request.docx Request for Approval	IC Document

IC Title:

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

Agency IC Tracking Number:

16AIB

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	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

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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

Documents for IC

table that charts IC Documents
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.