Information Collection

National Cache Medial Supply Kit Assessment

IC 231989 under ICR 201503-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cache Medical Kit Review.pdf	Other-Review Web Pages
DOI Clearance Submission Request IEMS Medial Kit Review.docx Request for Approval	IC Document

IC Title:

National Cache Medial Supply Kit Assessment

Agency IC Tracking Number:

FT - 107

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-Review Web Pages			Cache Medical Kit Review.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	DOI Clearance Submission Request IEMS Medial Kit Review.docx	06/28/2018

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