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Capability 10: Medical Surge
Operational Readiness Review 2.0
OMB: 0920-1352
IC ID: 247378
OMB.report
HHS/CDC
OMB 0920-1352
ICR 202202-0920-015
IC 247378
( )
Documents and Forms
Document Name
Document Type
Capability 10: Medical Surge
Form and Instruction
Capability 10
Att20-Capability 10.docx
Form and Instruction
Capability 10
Att20-Capability 10.docx
Form and Instruction
0920-1352 Capability 10 01MAR2022
Att20-Capability 10-clean.docx
Form and Instruction
0920-1352 Capability 10 01MAR2022
Att20-Capability 10-clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Capability 10: Medical Surge
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
Capability 10
Att20-Capability 10.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1352
Capability 10 01MAR2022
Att20-Capability 10-clean.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
62
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
62
0
0
0
0
62
Annual IC Time Burden (Hours)
124
0
0
0
0
124
Annual IC Cost Burden (Dollars)
3,931
0
0
0
0
3,931
Documents for IC
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.