Information Collection

Highly Pathogenic Avian Influenza (HPAI) Emergency Response Responder Feedback Survey - State, local, and traibal governments

IC 234206 under ICR 201811-0579-006 · OMB 0579-0377.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0377 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HPAI survey.pdf	Other-Online Survey
HPAI Fast Track Submission State.pdf Certification	IC Document

IC Title:

Highly Pathogenic Avian Influenza (HPAI) Emergency Response Responder Feedback Survey - State, local, and traibal governments

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 1-199 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-Online Survey			HPAI survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	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
Certification	HPAI Fast Track Submission State.pdf	11/29/2018

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