Information Collection

ASPR Temporary Reassignment Request

IC 223988 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⚠️ Notice: This information collection may be referencing outdated material.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
ASPR Temporary Reassignment Request	Form
ASPR Temporary Reassignment Request ASPR Attachment A - HHS Temporary Reassignment Request Form.pdf	Form
ASPR Temporary Reassignment Request_Supporting Statement A.docx Supporting Statement A	IC Document
ASPR Temporary Reassignment Request Form_Supporting Statement B.docx Supporting Statement B	IC Document
The OKAY by OMB The Office of the Secretary request the use of 0920-0879.msg Approval from OMB to use 0920-0879	IC Document
ASPR Attachment B - Temporary Reassignment Web Site Screenshot.pdf Guidance for Temporary Reassignment	IC Document
Attachment C - ASPR Final PHS Act FOA Language.docx FOA language	IC Document

IC Title:

ASPR Temporary Reassignment Request

Agency IC Tracking Number:

17AY

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	ASPR Temporary Reassignment Request	ASPR Attachment A - HHS Temporary Reassignment Request Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

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	60	60
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	ASPR Temporary Reassignment Request_Supporting Statement A.docx	10/18/2016
Supporting Statement B	ASPR Temporary Reassignment Request Form_Supporting Statement B.docx	10/18/2016
Approval from OMB to use 0920-0879	The OKAY by OMB The Office of the Secretary request the use of 0920-0879.msg	10/18/2016
Guidance for Temporary Reassignment	ASPR Attachment B - Temporary Reassignment Web Site Screenshot.pdf	10/18/2016
FOA language	Attachment C - ASPR Final PHS Act FOA Language.docx	10/18/2016

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