OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Covid-19 Contact Tracing

IC 242419 under ICR 202102-1601-003 · OMB 1601-0027.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
COVID-19 Contact Tracing Form.docx Other-Mock Up
COVID-19 Contact Tracing Form.docx Other-Mock Up
COVID-19 Contact Tracing Script- Interview of COVID POSITIVE DHS Personnel.docx Other-Interview Script
COVID-19 Contact Tracing Script- Interview of COVID POSITIVE DHS Personnel.docx Other-Interview Script
COVID-19 Contact Tracing Notification Script- DHS Personnel.docx Other-Notifiation Script
COVID-19 Contact Tracing Notification Script- DHS Personnel.docx Other-Notifiation Script

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Mock Up COVID-19 Contact Tracing Form.docx Yes Yes Fillable Fileable
Other-Interview Script COVID-19 Contact Tracing Script- Interview of COVID POSITIVE DHS Personnel.docx No   Fillable Fileable
Other-Notifiation Script COVID-19 Contact Tracing Notification Script- DHS Personnel.docx No   Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 500 0 0 0 500 0
Annual IC Time Burden (Hours) 167 0 0 0 167 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.