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Community Assessment for Public Health Emergency Response (CASPER) addressing the California Drought – Mariposa County, 2016

IC 223813 under ICR 201709-0920-006 · OMB 0920-1036.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Community Assessment for Public Health Emergency Response (CASPER) addressing the California Drought – Mariposa County, 2016 0920-1036-17AD
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Questionnaire - Drought Community Assessment for Public Health Emergency Response -- 2016 CA CASPER Drought Questionnaire 10-4-16.docx NA No   Paper Only
Form and Instruction NA Referral - Community Assessment for Public Health Emergency Response To Drought CA CASPER Drought Referral Form 10-4-16.docx NA No   Paper Only

Health Illness Prevention

 

1,284 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,284 0 0 0 0 1,284
Annual IC Time Burden (Hours) 631 0 0 0 0 631
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CASPER Request - Mariposa Co. 20160929 CDPH CASPER request Mariposa County CA.pdf 10/05/2016
CASPER GenIC Request RqstAprvl 2016 CASPER Mariposa CA.pdf 10/06/2016
Non-Research Determination RDF 2016 CASPER Mariposa CA signed OS.pdf 10/06/2016
National Drought Response Plan Task Tracker NationalDroughtActionPlanTaskTracker - Goal 3.docx 10/06/2016
Federal Action Plan of the National Drought Resilience Partnership federal_drought_resilience_action_plan_2016.pdf 10/06/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.