Information Collection

Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response

IC 259011 under ICR 202403-0970-006 · OMB 0970-0531.

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-Focus Group Script: State Human Services Programs Interview Protocol - STLT and Providers - 021023.docx Yes Yes Fillable Fileable
Other-Focus Group Script: National Associations Interview Protocol - Federal and National Associations 021023.docx Yes Yes Fillable Fileable
Other-Focus Group Script: Researchers Interview Protocol - Researchers - 021023.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 1,103 0 0 0 0 1,103
Annual IC Time Burden (Hours) 1,655 0 0 0 0 1,655
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - Formative for Program Support - Disaster Human Services Program 4.7.23 SSA_Formative GenIC_OHSEPR Disaster Human Services Program_Clean 4.7.docx 04/07/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.