FY16Q3 Inventory Justification

NCEH GENERIC CLEARANCE FOR “COMMUNITY ASSESSMENT FOR PUBLIC HEALTH EMERGENCY RESPONSE (CASPER)”

OMB CONTROL NO. 0920-1036 (EXP. DATE 12/31/2017)

QUARTERLY CHANGE REQUEST

JUSTIFICATION: This is a change request to report the actual burden hours used for CASPER GenICs.

REPORTING PERIOD

FISCAL YEAR: 2016

QUARTER: 3

SUMMARY OF APPROVED NUMBER OF RESPONSES AND BURDEN HOURS
	APPROVED DATES	DATE OF COLLECTION	RESPONSES	BURDEN HOURS
GENERIC CLEARANCE	Exp Date 12/31/2017		9600	4731
BALANCE REMAINING			9199	4534
GenIC REPORT
Undetermined health effects among persons affected by flooding – West Virginia, 2016	7/21/2016 10/19/2016	08/01/2016 08/02/2016	392	196 (11760/60 minutes)
			9	0.75 (45/60 minutes)
GenIC Attachments: WV Flood 2016 CASPER Questionnaire - final WV Flood 2016 Referral Form - final

Attachment H. Burden Memo - final