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Federal forms, ICRs, and supporting documents

Information Collection

[CPR] Successes of and Barriers to Distribution of Personal Protective Equipment (PPE) During the 2024 Dairy Cattle H5N1 Outbreak

IC 271822 under ICR 202507-0920-010 · OMB 0920-1154.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[CPR] Successes of and Barriers to Distribution of Personal Protective Equipment (PPE) During the 2024 Dairy Cattle H5N1 Outbreak 0920-1154-25AP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Personal Protective Equipment Key Informant Interviews Att1-Key InformantInterview.docx Yes No Fillable Fileable
Form and Instruction n/a Online Survey Questionnaire (to be amended as appropriate following review of KII responses) Att2- Draft Survey.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

65 0
   
State, Local, and Tribal Governments
 
   75 %

  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 65 0 0 0 0 65
Annual IC Time Burden (Hours) 111 0 0 0 0 111
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template GenICRequestTemplate_PPE Distribution_H5N1 Outbreak-PRArev_final.docx 10/23/2024
SSA SSA-0920-1154-DSLR PPE_clean_final.docx 10/23/2024
SSB SSB-0920-1154-DSLR PPE.docx 10/23/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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