[CPR] Public Health Emergency Management Capacity Assessment Tool (PHEM TOOL)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1417 PHEM Tool - rev 12JUN2025	Form and Instruction	Modified	Available
PHEM Tool	Form and Instruction	Modified	Available
PHEM Tool	Form and Instruction	Modified	Repair queued
0920-1417-PHEM Tool- NSCR 11June2025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-12	Available
0920-1417-PHEM Tool- NSCR 11June2025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-12	Missing upstream
project-summary-0900f3eb820df056-8-15-2023-19_42_7.pdf	Supplementary Document	Uploaded 2023-09-11	Available
project-summary-0900f3eb820df056-8-15-2023-19_42_7.pdf	Supplementary Document	Uploaded 2023-09-11	Repair queued
Att2-60-Day FRN PHEM Tool.pdf	Supplementary Document	Uploaded 2023-09-11	Available
Att2-60-Day FRN PHEM Tool.pdf	Supplementary Document	Uploaded 2023-09-11	Available
Att 1 -Applicable law or regulation PHSA_42 USC 241.pdf	Supplementary Document	Uploaded 2023-09-11	Available
Att 1 -Applicable law or regulation PHSA_42 USC 241.pdf	Supplementary Document	Uploaded 2023-09-11	Repair queued
SSB -ORR-PHEM Tool.docx	Supporting Statement B	Uploaded 2023-09-11	Available
SSB -ORR-PHEM Tool.docx	Supporting Statement B	Uploaded 2023-09-11	Missing upstream
SSA -ORR- DEO- PHEM Tool- final_final.docx	Supporting Statement A	Uploaded 2023-09-11	Available
SSA -ORR- DEO- PHEM Tool- final_final.docx	Supporting Statement A	Uploaded 2023-09-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
262113	PHEM Tool	Form and Instruction	Modified	PHEM Tool - rev 12JUN2025
262113	PHEM Tool	Form and Instruction	Modified	PHEM Tool
262113	PHEM Tool	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1417	ICR Reference No: 202506-0920-004
Status: Active	Previous ICR Reference No: 202309-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1417-25-0130
Title: [CPR] Public Health Emergency Management Capacity Assessment Tool (PHEM TOOL)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/26/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2026	10/31/2026	10/31/2026
Responses	12	0	12
Time Burden (Hours)	72	0	72
Cost Burden (Dollars)	0	0	0

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Abstract: The Global Emergency Management Capacity Development (GEMCD) Team provides technical assistance to Global Health Security Agenda priority countries to assist them in developing and maintaining public health emergency management (PHEM) programs and public health emergency operations centers (PHEOCs). The Public Health Emergency Management Capacity Assessment Tool (PHEM Tool) is intended to provide a systematic approach to collecting data pertaining to PHEM programs and PHEOCs in countries where technical support is being provided. Data collected will help GEMCD identify programmatic and PHEOC strengths and weaknesses to guide short- and long-term technical assistance and project planning. This Non-Substantive Change Request is submitted to streamline PHEM Tool and add/remove additional sections to the PHEM Tool to modify language and decrease redundancy. There is no anticipated change to the burden hours.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 26546	05/01/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 62795	09/13/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
PHEM Tool	0920-1417, n/a	PHEM Tool ,   PHEM Tool - rev 12JUN2025

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	12	12	0	0	0	0
Annual Time Burden (Hours)	72	72	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $7,452

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/26/2025

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