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

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.