Information Collection

Participatory Mapping to Identy and Support at Risk Population in Emergency Preparedness -- Phase 2

IC 232408 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⚠️ Notice: This information collection may be referencing outdated material.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
Att 1-InterviewComLead_OMB.docx	Other-WORD
Request for Approval-GenICTemplate_OMB_23July18_instrument2.docx Request for Approval 0920-1154 (18ATQ)	IC Document
SSA_ParticipatoryMapping2_OMB_25July18.docx SupSta A	IC Document
SSB_ParticipatoryMapping_OMB_instrument_23July18.docx SupSta B	IC Document
Att 1-InterviewComLead_OMB.DRAFT.docx Att 1_DRAFT Interview Guide	IC Document
Att 2_ IRB HSPH_Exemption_Letter-29_May_2018.pdf Att 2_Harvard T.H. Chan School of Public Health IRB	IC Document
Att 3_6972 Exempt Amendment Memo_CDC_IRB.docx Att 3_CDC IRB Approval	IC Document
Att 4_Invitation Letter_instrument_2.docx Att 4_ Invitation Letter	IC Document

IC Title:

Participatory Mapping to Identy and Support at Risk Population in Emergency Preparedness -- Phase 2

Agency IC Tracking Number:

0920-1154 (18ATQ)

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
Other-WORD			Att 1-InterviewComLead_OMB.docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval 0920-1154 (18ATQ)	Request for Approval-GenICTemplate_OMB_23July18_instrument2.docx	07/30/2018
SupSta A	SSA_ParticipatoryMapping2_OMB_25July18.docx	07/30/2018
SupSta B	SSB_ParticipatoryMapping_OMB_instrument_23July18.docx	07/30/2018
Att 1_DRAFT Interview Guide	Att 1-InterviewComLead_OMB.DRAFT.docx	07/30/2018
Att 2_Harvard T.H. Chan School of Public Health IRB	Att 2_ IRB HSPH_Exemption_Letter-29_May_2018.pdf	07/30/2018
Att 3_CDC IRB Approval	Att 3_6972 Exempt Amendment Memo_CDC_IRB.docx	07/30/2018
Att 4_ Invitation Letter	Att 4_Invitation Letter_instrument_2.docx	07/30/2018

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