Information Collection

Council of State and Territorial Epidemiologists (CSTE) Feedback on Geospatial Capacity

IC 224955 under ICR 201510-0923-001 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Council of State and Territorial Epidemiologists (CSTE) Feedback on Geospatial Capacity	Form
CSTE Feedback - Use of Geospatial Methods During Respons Attachment B - CSTE Meeting Feedback (online).docx	Form
Generic Clearance Form - CSTE Meeting Feedback.pdf Template with Justification	IC Document
Attachment A - CSTE Meeting Feedback (text).docx Text version of feedback survey to facilitate review of content	IC Document
Attachment C - Email Invite for the CSTE Meeting Feedback.docx Email Invitation to Participate in the Survey	IC Document

IC Title:

Council of State and Territorial Epidemiologists (CSTE) Feedback on Geospatial Capacity

Agency IC Tracking Number:

0923-17IU

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
Form	N/A	CSTE Feedback - Use of Geospatial Methods During Responses	Attachment B - CSTE Meeting Feedback (online).docx		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: 50

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	50	50
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
Template with Justification	Generic Clearance Form - CSTE Meeting Feedback.pdf	12/23/2016
Text version of feedback survey to facilitate review of content	Attachment A - CSTE Meeting Feedback (text).docx	12/23/2016
Email Invitation to Participate in the Survey	Attachment C - Email Invite for the CSTE Meeting Feedback.docx	12/23/2016

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