Vector Surveillance and Control Assessment: Post Zika-Response and Tick Capacities (VECTOR-PZ)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Vector Surveillance and Control Assessment: Post Zika-Response and Tick Capacities (VECTOR-PZ) Form and Instruction
Attachment A - Vector Borne Control Program Questionnaire Word version.docx Other-WORD version of survey content
2020 Vector Control Assessment Attachment B - Vector Borne Control Program Questionnaire Web version.docx Form and Instruction
VECTOR-PZ-SSA.docx Supporting Statement Part A IC Document
VECTOR-PZ-SSB.docx Supporting Statement Part B IC Document
Attachment C - 2020 Vector Assessment - Notification Email.docx Notification Email IC Document

Information Collection (IC) Details

IC Title:	Vector Surveillance and Control Assessment: Post Zika-Response and Tick Capacities (VECTOR-PZ)	Agency IC Tracking Number:	0920-20PF

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	2020 Vector Control Assessment	Attachment B - Vector Borne Control Program Questionnaire Web version.docx		Yes	Yes	Fillable Fileable
Other-WORD version of survey content to facilitate review			Attachment A - Vector Borne Control Program Questionnaire Word version.docx		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	19,980	19,980

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A	VECTOR-PZ-SSA.docx	06/09/2020
Supporting Statement Part B	VECTOR-PZ-SSB.docx	06/09/2020
Notification Email	Attachment C - 2020 Vector Assessment - Notification Email.docx	06/24/2020

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