Information Collection

Mass Gathering Outbreaks: Assessment of Frequency, Policy and Communication Strategies

IC 217936 under ICR 201412-0920-011 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Mass Gathering Outbreaks: Assessment of Frequency, Policy and Communication Strategies	Form
Att. D Survey Intro Screen.docx	Instruction
Survey Screenshots Att. E Data Collection Instrument-Online version.docx	Form
MASSGATHER-SSA.docx SS Part A	IC Document
MASSGATHER-SSB.docx SS Part B	IC Document
Att. A State Health Department Epidemiologists.docx List of Epidemiologists	IC Document
Att. B Local Health Department Directors.docx List of Local Health Departments	IC Document
Att. C CDC presentation to DHHS.pdf CDC Presentation to DHHS	IC Document
Att. F CSTE Letter of Support.docx CSTE Letter of Support	IC Document
Att. G - NACCHO Letter of Support.docx NACCHO letter of Support	IC Document
Att. H Invitation email.docx Invitation Email	IC Document
Att. I Reminder email.docx Reminder Email	IC Document
Att. J Final email.docx Final Email	IC Document

IC Title:

Mass Gathering Outbreaks: Assessment of Frequency, Policy and Communication Strategies

Agency IC Tracking Number:

15BEA

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	none	Survey Screenshots	Att. E Data Collection Instrument-Online version.docx		Yes	Yes	Fillable Fileable
Instruction			Att. D Survey Intro Screen.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 81

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	81	81
Annual IC Time Burden (Hours)	41	41
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS Part A	MASSGATHER-SSA.docx	08/20/2015
SS Part B	MASSGATHER-SSB.docx	08/20/2015
List of Epidemiologists	Att. A State Health Department Epidemiologists.docx	08/20/2015
List of Local Health Departments	Att. B Local Health Department Directors.docx	08/20/2015
CDC Presentation to DHHS	Att. C CDC presentation to DHHS.pdf	08/20/2015
CSTE Letter of Support	Att. F CSTE Letter of Support.docx	08/20/2015
NACCHO letter of Support	Att. G - NACCHO Letter of Support.docx	08/20/2015
Invitation Email	Att. H Invitation email.docx	08/20/2015
Reminder Email	Att. I Reminder email.docx	08/20/2015
Final Email	Att. J Final email.docx	08/20/2015

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