Information Collection

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

IC 234206 under ICR 202202-0579-002 · OMB 0579-0377.

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:

Agency IC Tracking Number:

IC Status: Unchanged

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	Previously Approved
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.