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Hurricane Maria Recovery Of Critical Social Functions Project: Hospital Recovery Followng Hurricane Maria Hospital Recovery Interview Wave 1
Generic Clearance for Community Resilience Data Collections
OMB: 0693-0078
IC ID: 254334
OMB.report
DOC/NIST
OMB 0693-0078
ICR 202405-0693-005
IC 254334
( )
Documents and Forms
Document Name
Document Type
0693-0078_Hospital Interview Wave 1 Script.docx
Other-Interview Script
0693-0078_Hospital Interview Wave 1 Supporting Statement.docx
Supporting Statement
IC Document
0693-0078_Hospital Interview Outreach Communication.docx
Recruitment
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
HURRICANE MARIA RECOVERY OF CRITICAL SOCIAL FUNCTIONS PROJECT: HOSPITAL RECOVERY FOLLOWNG HURRICANE MARIA HOSPITAL RECOVERY INTERVIEW WAVE 1
Agency IC Tracking Number:
ER
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Interview Script
0693-0078_Hospital Interview Wave 1 Script.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
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
15
0
0
0
0
15
Annual IC Time Burden (Hours)
15
0
0
0
0
15
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement
0693-0078_Hospital Interview Wave 1 Supporting Statement.docx
06/22/2022
Recruitment
0693-0078_Hospital Interview Outreach Communication.docx
06/22/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.