Information Collection

Effective Communication for Water-related Emergencies and Disease Outbreaks

IC 244555 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⚠️ Notice: This information collection may be referencing outdated material.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
Effective Communication for Water-related Emergencies and Disease Outbreaks	Form and Instruction
AttD_FocusGroup_Guide.docx	Other-Focus group guide
Recruitment Screener AttA_Rcrtmnt_Protocol_Screening_Instrmnt.docx	Form and Instruction
10.28.20_0923-0047_TmpltApprvlFrm b.pdf genIC Approval Request	IC Document
AttB_Rcrtmnt_Flyer.docx Recruitment flyer	IC Document
AttE_TstMsg1_Making_Water_Safe_Webpage.pdf Message 1 - Making water safe in emergencies	IC Document
AttF_TstMsg2_Cleaning_Sntzng_Bleach_Webpage.pdf Message 2 - Cleaning and sanitizing with bleach	IC Document
AttG_TstMsg3_Boil_Water_Facts.pdf Message 3 - Boil water facts	IC Document
AttJ_STARS_Determination.pdf Project determination	IC Document
10.28.20_Prjct Smmry_FocusGroups (1).docx Project summary	IC Document
AttC_Participant_Info (1).docx Participant information sheet	IC Document

IC Title:

Effective Communication for Water-related Emergencies and Disease Outbreaks

Agency IC Tracking Number:

0920-0047-21BE

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	Recruitment Screener	AttA_Rcrtmnt_Protocol_Screening_Instrmnt.docx		Yes	Yes	Fillable Fileable
Other-Focus group guide			AttD_FocusGroup_Guide.docx		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: 315

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	315	315
Annual IC Time Burden (Hours)	173	173
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
genIC Approval Request	10.28.20_0923-0047_TmpltApprvlFrm b.pdf	11/18/2020
Recruitment flyer	AttB_Rcrtmnt_Flyer.docx	11/18/2020
Message 1 - Making water safe in emergencies	AttE_TstMsg1_Making_Water_Safe_Webpage.pdf	11/18/2020
Message 2 - Cleaning and sanitizing with bleach	AttF_TstMsg2_Cleaning_Sntzng_Bleach_Webpage.pdf	11/18/2020
Message 3 - Boil water facts	AttG_TstMsg3_Boil_Water_Facts.pdf	11/18/2020
Project determination	AttJ_STARS_Determination.pdf	11/18/2020
Project summary	10.28.20_Prjct Smmry_FocusGroups (1).docx	11/18/2020
Participant information sheet	AttC_Participant_Info (1).docx	11/18/2020

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