Information Collection

Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources

IC 240119 under ICR 201810-0923-002 · OMB 0923-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0923-0047 Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources	Form and Instruction
0923-0047 User Testing Script and Questionnaire Attachment B User Testing Script and Questionnaire 20200225.docx	Form and Instruction
ATSDR 0923-0047 GenIC_Usability of CRC SimPLER signed OS 20200225.pdf GenIC Template	IC Document
Attachment A Email to invite participants 20200225.docx Email Invite	IC Document
Attachment C Screenshots of CRC SimPLER Tool 20200225.pptx Screenshots of CRC SimPLER Tool	IC Document
Attachment D STARS Research-PRA Determination 20200113.pdf Research Determination	IC Document

IC Title:

Usability Assessment of CRC SimPLER - Community Reception Center Simulation Program for Leveraging and Evaluating Resources

Agency IC Tracking Number:

0923-0047-20KQ

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	0923-0047	User Testing Script and Questionnaire	Attachment B User Testing Script and Questionnaire 20200225.docx		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Template	ATSDR 0923-0047 GenIC_Usability of CRC SimPLER signed OS 20200225.pdf	02/26/2020
Email Invite	Attachment A Email to invite participants 20200225.docx	02/26/2020
Screenshots of CRC SimPLER Tool	Attachment C Screenshots of CRC SimPLER Tool 20200225.pptx	02/26/2020
Research Determination	Attachment D STARS Research-PRA Determination 20200113.pdf	02/26/2020

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