Information Collection Request

Community Assessment for Public Health Emergency Response (CASPER)

ICR 201711-0920-010 · OMB 0920-1036 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment B_60dayFRN.pdf Supplementary Document Uploaded 2017-11-09 Available
SSB CASPER Final.docx Supporting Statement B Uploaded 2017-11-09 Available
SSA CASPER Final.docx Supporting Statement A Uploaded 2017-11-09 Available
Drought Questionnaire_CA FINAL.docx Supplementary Document Uploaded 2017-09-21 Available
AttachH_Burden Memo.docx Supplementary Document Uploaded 2017-09-21 Available
0920-1036 Change Request Justification 2016 Q4.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-09-21 Repair queued
Attachment H_Burden Memo_final.docx Supplementary Document Uploaded 2016-09-14 Available
InstrumentsFY16Q3.docx Supplementary Document Uploaded 2016-09-14 Available
0920-1036 Change Request Justification FY2016 Q3.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-09-14 Available
N_WeightAnalyses 12082014 Clean.docx Supplementary Document Uploaded 2014-12-10 Available
AttachM_SamplePaper.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachL_SamplePressRelease.pdf Supplementary Document Uploaded 2014-06-05 Repair queued
AttachK_SampleFrameAndMap.docx Supplementary Document Uploaded 2014-06-05 Available
AttachJ_SampleIntroAndConsent.docx Supplementary Document Uploaded 2014-06-05 Available
I StpsCndctng 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Available
AttachH_Burden Memo.docx Supplementary Document Uploaded 2014-06-05 Available
G RqstAprvl 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Available
AttachF_SampleFinalReport.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachE_SampleReferralForm.pdf Supplementary Document Uploaded 2014-06-05 Available
AttachD_SampleTrackingForm.pdf Supplementary Document Uploaded 2014-06-05 Available
C SmplQnr 12052014 Clean.docx Supplementary Document Uploaded 2014-12-10 Available
AttachA_AuthLegis.pdf Supplementary Document Uploaded 2014-06-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2021 36 Months From Approved 02/28/2018
3,852 0 9,007
1,893 0 4,439
0 0 0






table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,852 9,007 0 -5,155 0 0
Annual Time Burden (Hours) 1,893 4,439 0 -2,546 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No