Radiation Emergencies Infographics Focus Groups

CDC and ATSDR Health Message Testing System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Document Name Document Type
Radiation Emergencies Infographics Focus Groups Form
AttE RIG Moderator's Guide 20130828.docx Other-Moderator's Guide-Radiation Em
Screening Instrument-Radiation Emergencies Infographics AttC RIG Screening Instrument 20130828.docx Form
HMTS Expedited Review Form Rad Infographics 20130828.pdf HMTS Expedited Review Form Rad Infographics 20130828 IC Document
AttA RIG Protocol Summary 20130828.docx AttA RIG Protocol Summary 20130828 IC Document
AttB RIG Protocol 20130828.docx AttB RIG Protocol 20130828 IC Document
AttD RIG Prtcpnt Info Sheet 20130806.docx AttD RIG Prtcpnt Info Sheet 20130806 IC Document
AttF Radiation Infographics 20130806.pdf AttF Radiation Infographics 20130806 IC Document

Information Collection (IC) Details

IC Title:	Radiation Emergencies Infographics Focus Groups	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	Screening Instrument-Radiation Emergencies Infographics	AttC RIG Screening Instrument 20130828.docx		Yes	No	Printable Only
Other-Moderator's Guide-Radiation Emergencies Infographics Focus Groups			AttE RIG Moderator's Guide 20130828.docx		Yes	No	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 288	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	288	0	0	0	0	0
Annual IC Time Burden (Hours)	192	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
HMTS Expedited Review Form Rad Infographics 20130828	HMTS Expedited Review Form Rad Infographics 20130828.pdf	09/06/2013
AttA RIG Protocol Summary 20130828	AttA RIG Protocol Summary 20130828.docx	09/06/2013
AttB RIG Protocol 20130828	AttB RIG Protocol 20130828.docx	09/06/2013
AttD RIG Prtcpnt Info Sheet 20130806	AttD RIG Prtcpnt Info Sheet 20130806.docx	09/06/2013
AttF Radiation Infographics 20130806	AttF Radiation Infographics 20130806.pdf	09/06/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.