Information Collection

Development of Deployment Risk and Resilience Inventory (DRRI)

IC 184543 under ICR 201503-2900-005 · OMB 2900-0730.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-21087 Development of Deployment Risk and Resilience Inventory (DRRI)	Form and Instruction
10-21087 Reformatted WFF Survey Reformatted WFF Survey for T3 for OMB.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

2900-0730

Is this a Common Form? No

IC Status: Modified

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 and Instruction	10-21087	Reformatted WFF Survey	Reformatted WFF Survey for T3 for OMB.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 754

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	Previously Approved
Annual Number of Responses for this IC	754	754
Annual IC Time Burden (Hours)	566	566
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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