Message Testing: Radiation Emergencies and Cancer Risk

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 242069

Information Collection (IC) Details

View Information Collection (IC)

Message Testing: Radiation Emergencies and Cancer Risk 0920-0572-20OV
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Message Testing Survey AttA Word Survey 20200602.docx Yes Yes Fillable Fileable
Other-Online Screenshot AttB Online Survey 20200602.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

600 0
   
Individuals or Households
 
   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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Request Template 0 - HMTS Rqst GenIC RadiationEmrgncs CancerRisk 20200430.pdf 06/02/2020
Protocol AttC Protocol 20200430.docx 06/02/2020
IRB approval AttD CDC 7275 Exempt Granted Memo 20200418.pdf 06/02/2020
List of Attachments 0 - LIst of Attachments 20200430.docx 06/02/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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