OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Hurricane Maria Recovery Of Critical Social Functions Project: Hospital Recovery Following Hurricane Maria Hospital Recovery Survey Wave 2

IC 259197 under ICR 202405-0693-005 · OMB 0693-0078.

Documents and Forms
Document Name
Document Type
Other-
Other-
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HURRICANE MARIA RECOVERY OF CRITICAL SOCIAL FUNCTIONS PROJECT: HOSPITAL RECOVERY FOLLOWING HURRICANE MARIA HOSPITAL RECOVERY SURVEY WAVE 2 NA
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- Hospital-Survey_Wave 2 - QualtricsScreenshots.pdf Yes Yes Fillable Fileable
Other- Hospital-Survey_Instrument_Wave2_PRA-Application_08Mar2023.docx Yes Yes Fillable Fileable

Disaster Management Disaster Preparedness and Planning

 

45 0
   
Private Sector Businesses or other for-profits
 
   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 45 0 0 0 0 45
Annual IC Time Burden (Hours) 19 0 0 0 0 19
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Hospital-Survey_Supporting-Statement_Wave2_PRA-Application.docx 03/16/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.