Information Collection

Community Involvement in Research and Investigation for Public Health

IC 231590 under ICR 201805-0920-007 · OMB 0920-1236.

Documents and Forms

Document Name Document Type
Community Involvement in Research and Investigation for Public Health Form and Instruction
Community Involvement in Research and Investigation for Att-E Survey.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community Involvement in Research and Investigation for Public Health	Agency IC Tracking Number:

Is this a Common Form? No		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	NA	Community Involvement in Research and Investigation for Public Health - Survey	Att-E Survey.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 100

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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