Information Collection

Radiation Emergencies Infographics Focus Groups

IC 208617 under ICR 201501-0920-003 · OMB 0920-0572.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Radiation Emergencies Infographics Focus Groups	Form
AttE RIG Moderator's Guide 20130828.docx	Other-Moderator's Guide-Radiation Em
Screening Instrument-Radiation Emergencies Infographics AttC RIG Screening Instrument 20130828.docx	Form
HMTS Expedited Review Form Rad Infographics 20130828.pdf HMTS Expedited Review Form Rad Infographics 20130828	IC Document
AttA RIG Protocol Summary 20130828.docx AttA RIG Protocol Summary 20130828	IC Document
AttB RIG Protocol 20130828.docx AttB RIG Protocol 20130828	IC Document
AttD RIG Prtcpnt Info Sheet 20130806.docx AttD RIG Prtcpnt Info Sheet 20130806	IC Document
AttF Radiation Infographics 20130806.pdf AttF Radiation Infographics 20130806	IC Document

IC Title:

Radiation Emergencies Infographics Focus Groups

Agency IC Tracking Number:

IC Status: Unchanged

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	Screening Instrument-Radiation Emergencies Infographics	AttC RIG Screening Instrument 20130828.docx		Yes	No	Printable Only
Other-Moderator's Guide-Radiation Emergencies Infographics Focus Groups			AttE RIG Moderator's Guide 20130828.docx		Yes	No	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 288

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	288	288
Annual IC Time Burden (Hours)	192	192
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HMTS Expedited Review Form Rad Infographics 20130828	HMTS Expedited Review Form Rad Infographics 20130828.pdf	09/06/2013
AttA RIG Protocol Summary 20130828	AttA RIG Protocol Summary 20130828.docx	09/06/2013
AttB RIG Protocol 20130828	AttB RIG Protocol 20130828.docx	09/06/2013
AttD RIG Prtcpnt Info Sheet 20130806	AttD RIG Prtcpnt Info Sheet 20130806.docx	09/06/2013
AttF Radiation Infographics 20130806	AttF Radiation Infographics 20130806.pdf	09/06/2013

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