Information Collection

Persuasive Communication about Risks from and Responses to Zika – State, Local and Tribal Government Interviews

IC 226486 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Persuasive Communication about Risks from and Responses to Zika – State, Local and Tribal Government Interviews	Form and Instruction
Interview Guide - Public Health Officials Attachment F - Interview Guide Public Health Officials.docx	Form and Instruction
GenICRequestTemplate OPHPR Persuasive Communication Zika GenIC Interviews 4.13.17.pdf 0920-1154 GenIC Request Template - OPHPR	IC Document
Attachment D - Interviews Recruitment Letter.docx Interview Recruitment Letter	IC Document
Attachment E - 6979 HRPO Exemption Determination.docx Non-Research Determination	IC Document
SSA-0920-1154-GenIC-OPHPR-Persuasive Communication Zika.docx Supporting Statement A	IC Document

IC Title:

Persuasive Communication about Risks from and Responses to Zika â State, Local and Tribal Government Interviews

Agency IC Tracking Number:

17AGG

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 and Instruction	NA	Interview Guide - Public Health Officials	Attachment F - Interview Guide Public Health Officials.docx	NA	No		Paper Only

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1154 GenIC Request Template - OPHPR	GenICRequestTemplate OPHPR Persuasive Communication Zika GenIC Interviews 4.13.17.pdf	04/20/2017
Interview Recruitment Letter	Attachment D - Interviews Recruitment Letter.docx	04/20/2017
Non-Research Determination	Attachment E - 6979 HRPO Exemption Determination.docx	04/20/2017
Supporting Statement A	SSA-0920-1154-GenIC-OPHPR-Persuasive Communication Zika.docx	04/20/2017

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