Communication Emphasizing Consequences, Protective Actions and Target Populations in an Infectious Disease Outbreak

CDC and ATSDR Health Message Testing System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Document Name Document Type
Communication Emphasizing Consequences, Protective Actions and Target Populations in an Infectious Disease Outbreak Form and Instruction
Message Testing Instrument Attachment 2 Message testing instrument 180815 - clean.docx Form and Instruction
HMTSExpeditedReviewForm.HopkinsCDC.7.23.18.pdf Request for Approval IC Document
Attachment 1 Background Information 180815-clean.docx Background Information IC Document
Attachment 3 Introductory correspondence 180815 - clean.docx Introductory Correspondence IC Document
Attachment 4 - PIA_Template_HMTS_HopkinsCDC_07232018.pdf PIA IC Document

Information Collection (IC) Details

IC Title:	Communication Emphasizing Consequences, Protective Actions and Target Populations in an Infectious Disease Outbreak	Agency IC Tracking Number:	0920-0572-18AVG

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	none	Message Testing Instrument	Attachment 2 Message testing instrument 180815 - clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	HMTSExpeditedReviewForm.HopkinsCDC.7.23.18.pdf	08/16/2018
Background Information	Attachment 1 Background Information 180815-clean.docx	08/16/2018
Introductory Correspondence	Attachment 3 Introductory correspondence 180815 - clean.docx	08/16/2018
PIA	Attachment 4 - PIA_Template_HMTS_HopkinsCDC_07232018.pdf	08/16/2018

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