[CPR] Evaluation on Acceptability and Effectiveness of Pilot Project This is a Tabletop Exercise Simulation Tool (T.E.S.T.)

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 259152

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Form and Instruction
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Form and Instruction
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[CPR] Evaluation on Acceptability and Effectiveness of Pilot Project This is a Tabletop Exercise Simulation Tool (T.E.S.T.) 0920-1154-23DF
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920- 23DF Attachment B_Immediate Post Exercise Survey Questions Attachment B_Immediate Post Exercise Survey Questions.docx Yes Yes Fillable Fileable
Form and Instruction 0920-23DF Attachment C_Follow Up Survey Questions Attachment C_Follow Up Survey Questions.docx Yes Yes Fillable Fileable
Form and Instruction 0920-23DA Attachment D_Focus Group Script Attachment D_Focus Group Script.docx Yes Yes Fillable Fileable

Disaster Management Disaster Repair and Restore

 

1,250 0
   
Individuals or Households
 
   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 1,250 0 0 0 0 1,250
Annual IC Time Burden (Hours) 2,750 0 0 0 0 2,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att1-TEST Game Layout Att1-TEST Game Layout.png 03/14/2023
Attachment 2 HSR Determination Attachment 2 HSR Determination.pdf 03/14/2023
Attachment A_Participant Information Attachment A_Participant Information.docx 03/14/2023
Attachment B_Immediate Post Exercise Survey Questions Attachment B_Immediate Post Exercise Survey Questions.docx 03/14/2023
Att1a-TEST Rulebook_v1.1 Att1a-TEST Rulebook_v1.1.pdf 03/14/2023
GenICRequestTemplate_TEST GenICRequestTemplate_TEST.docx 03/14/2023
SSA-CPR-ThisIsATEST SSA-CPR-ThisIsATEST.docx 03/14/2023
SSB_ThisATest SSB_ThisATest.docx 03/14/2023
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