Medical Countermearsure Training Needs Assessment

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

OMB: 0920-0879

IC ID: 231555

Documents and Forms
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Other-Electronic Version
Other-Electronic version
Other-Electronic Version
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Information Collection (IC) Details

View Information Collection (IC)

Medical Countermearsure Training Needs Assessment 18ADS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Electronic Version Attachment E - Training Needs Electronic Assessment, Web Version Screenshots.docx Yes Yes Fillable Fileable
Other-Electronic version Attachment G - Virtual Group Interview Sign-up Form, Web Version Screenshots.docx Yes Yes Fillable Fileable
Other-Electronic Version Attachment I - Virtual Group Interview Discussion Guide, Web Version Screenshots.docx Yes Yes Fillable Fileable

Disaster Management Disaster Preparedness and Planning

 

2,174 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 2,174 0 2,174 0 0 0
Annual IC Time Burden (Hours) 637 0 637 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D_Training Needs Assessment, WORD Version Attachment D - Training Needs Electronic Assessment, Word Version.docx 05/23/2018
Att F_Virtual Group Interview SIgn-Up, WORD Version Attachment F - Virtual Group Interview Sign-up Form, Word Version.docx 05/23/2018
Att H_Virtual Group Interview DIscussion Guide, WORD Version Attachment H - Virtual Group Interview Discussion Guide, Word Version.docx 05/23/2018
Att A_MCM Coordinator - Common Responsibilities and Associated Skills Attachment A - MCM Coordinator Common Responsibilities and Associated Skills.pdf 05/23/2018
Att B_Sample of MCM Officials Table Attachment B - Sample of MCM Officials Table.docx 05/23/2018
Att C_Respondent Universe Attachment C - Respondent Universe.docx 05/23/2018
Att J_Electronic Assessment Invitational Email Attachment J - Electronic Assessment Invitation Email.docx 05/23/2018
Att K_MCM Training Needs Assessment Advertisement Attachment K - MCM Training Needs Assessment Advertisement.docx 05/23/2018
Att L_Electronic Assessment Reminder 1 Email Attachment L - Electronic Assessment Reminder 1 Email.docx 05/23/2018
Att M_Electronic Assessment Reminder 2 Email Attachment M - Electronic Assessment Reminder 2 Email.docx 05/23/2018
Att N_Reminder Phone Call Script Attachment N - Reminder Phone Call Script.docx 05/23/2018
Att O_Group Interview Notification Email Attachment O - Group Interview Notification Email.docx 05/23/2018
Att P_Group Interview Reminder Email Attachment P - Group Interview Reminder Email.docx 05/23/2018
Supporting Statement A MCM-NEEDS-SSA. FINAL.docx 05/24/2018
Supporting Statement B MCM-NEEDS-SSB. FINAL.docx 05/24/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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