Information Collection

Pandemic Response and Safety Program

IC 248365 under ICR 202107-0581-001 · OMB 0581-0326.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0326 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pandemic Response and Safety Program	Form and Instruction
PRS Specific Terms and Conditions FY2019GDTermsandConditions.pdf	Form and Instruction
PRS Specific Terms and Conditions FY2019GDTermsandConditions.pdf	Form and Instruction
PRS Specific Checklist Appendix B Activity Checklist_PRS.docx	Form and Instruction
PRS Specific Checklist Appendix B Activity Checklist_PRS.docx	Form and Instruction

IC Title:

Pandemic Response and Safety Program

Agency IC Tracking Number:

Is this a Common Form? No

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	PRS Specific Terms and Conditions	FY2019GDTermsandConditions.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	None	PRS Specific Checklist	Appendix B Activity Checklist_PRS.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400,000

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400,000	400,000
Annual IC Time Burden (Hours)	400,000	400,000
Annual IC Cost Burden (Dollars)	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.