Information Collection

Re-entry Messaging Following a Radiation Emergency

IC 226565 under ICR 201502-0920-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Att A Screenr Reentry Mssgs.docx	Other-WORD
Att C Reentry Mod guide.docx	Other-WORD
Att B Reentry mssgs.docx Att B_Radiation Reentry Message	IC Document
Att D Partpnt Info Sheet Fcs Grps.docx Att D_Participant Information Sheet	IC Document
Att E Reentry Messages_ Protocol.docx Att E_Protocol Detail	IC Document
Att F Sample Reentry Scenario.docx Att F_Scenario	IC Document
Reentry messages project summary.docx Re-Entry Message Summary	IC Document
NCEH-ATSDR Research Determination Form-OSSigned.pdf NCEH/ATSDR HSR Determination	IC Document
ORAU approval letter_Reentry Messages.pdf ORAU IRB	IC Document
HMTSExpeditedReviewForm-Msg Rentry.pdf HMTS Expedited Review Form	IC Document

IC Title:

Re-entry Messaging Following a Radiation Emergency

Agency IC Tracking Number:

17AHA

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
Other-WORD			Att C Reentry Mod guide.docx		No		Paper Only
Other-WORD			Att A Screenr Reentry Mssgs.docx		No		Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att B_Radiation Reentry Message	Att B Reentry mssgs.docx	04/26/2017
Att D_Participant Information Sheet	Att D Partpnt Info Sheet Fcs Grps.docx	04/26/2017
Att E_Protocol Detail	Att E Reentry Messages_ Protocol.docx	04/26/2017
Att F_Scenario	Att F Sample Reentry Scenario.docx	04/26/2017
Re-Entry Message Summary	Reentry messages project summary.docx	04/26/2017
NCEH/ATSDR HSR Determination	NCEH-ATSDR Research Determination Form-OSSigned.pdf	04/26/2017
ORAU IRB	ORAU approval letter_Reentry Messages.pdf	04/26/2017
HMTS Expedited Review Form	HMTSExpeditedReviewForm-Msg Rentry.pdf	04/26/2017

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