Information Collection

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

IC 232694 under ICR 201806-0920-001 · OMB 0920-0572.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.