Community Assessment for Public Health Emergency Response (CASPER)

OMB 0920-1036

Community Assessment for Public Health Emergency Response (CASPER) is an effective public health tool designed to quickly provide low-cost, household-based information about a community's needs and health status in a simple, easy-to-understand format for decision-makers. CASPER uses well established, valid epidemiological methods to determine the health status and basic needs of the affected community, allowing officials to prioritize responses and make informed decisions regarding the distribution of resources. This Revision results in a decrease in number of respondents and overall burden hours, as well as updated respondent costs.

The latest form for Community Assessment for Public Health Emergency Response (CASPER) expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Attachment B_60dayFRN.pdf Supplementary Document
SSB CASPER Final.docx Supporting Statement B
SSA CASPER Final.docx Supporting Statement A
Drought Questionnaire_CA FINAL.docx Supplementary Document
AttachH_Burden Memo.docx Supplementary Document
0920-1036 Change Request Justification 2016 Q4.docx Justification for No Material/Nonsubstantive Change
Attachment H_Burden Memo_final.docx Supplementary Document
InstrumentsFY16Q3.docx Supplementary Document
0920-1036 Change Request Justification FY2016 Q3.docx Justification for No Material/Nonsubstantive Change
N_WeightAnalyses 12082014 Clean.docx Supplementary Document
AttachM_SamplePaper.pdf Supplementary Document
AttachL_SamplePressRelease.pdf Supplementary Document
AttachK_SampleFrameAndMap.docx Supplementary Document
AttachJ_SampleIntroAndConsent.docx Supplementary Document
I StpsCndctng 12052014 Clean.docx Supplementary Document
AttachH_Burden Memo.docx Supplementary Document
G RqstAprvl 12052014 Clean.docx Supplementary Document
AttachF_SampleFinalReport.pdf Supplementary Document
AttachE_SampleReferralForm.pdf Supplementary Document
AttachD_SampleTrackingForm.pdf Supplementary Document
C SmplQnr 12052014 Clean.docx Supplementary Document
AttachA_AuthLegis.pdf Supplementary Document

All Historical Document Collections

201711-0920-010 Approved without change	Revision of a currently approved collection	2017-11-13
201709-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-09-21
201609-0920-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-09-16
201406-0920-005 Approved with change	New collection (Request for a new OMB Control Number)	2014-06-09