Information Collection

Interview Guide for Local HD Representative

IC 217682 under ICR 201507-0920-015 · OMB 0920-1093.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment_F_Interview_Guide_LHD_Representatives.docx	Instruction
Attachment_I_Recruitment_Letter_for_LHD_Representatives.docx Recruitment Letter for LHD Representatives	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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
Instruction			Attachment_F_Interview_Guide_LHD_Representatives.docx		Yes	No	Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8

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	8	8
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Letter for LHD Representatives	Attachment_I_Recruitment_Letter_for_LHD_Representatives.docx	07/29/2015

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