Agency for Toxic Substances and Disease Registry Task Order 15: Message Testing

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 210596

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

View Information Collection (IC)

Agency for Toxic Substances and Disease Registry Task Order 15: Message Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 ATSDR-Message-Testing_Attachment-2_Screener-Consumers_Clean ATSDR-Message-Testing_Attachment-2_Screener-Consumers_Clean.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 ATSDR-Message-Testing_Attachment-5_Consumers ATSDR-Message-Testing_Attachment-5_Consumers.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 ATSDR-Message-Testing_Attachment-6_PublicHealthProfessionals ATSDR-Message-Testing_Attachment-6_PublicHealthProfessionals.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 ATSDR-Message-Testing_Attachment-7_Communitymembers ATSDR-Message-Testing_Attachment-7_Communitymembers.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 ATSDR-Message-Testing_Attachment-8_Consent-Form ATSDR-Message-Testing_Attachment-8_Consent-Form.docx Yes Yes Fillable Fileable

Disaster Management Disaster Preparedness and Planning

 

28 0
   
Individuals or Households
 
   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 28 0 0 0 0 0
Annual IC Time Burden (Hours) 20 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Expedited Review Form_508 compliant_TO15 MessageTesting HMTS Expedited Review Form_508 compliant_TO15 MessageTesting.pdf 02/25/2014
ATSDR-Message-Testing_Attachment-1_Background-Information ATSDR-Message-Testing_Attachment-1_Background-InformationClean.docx 02/25/2014
ATSDR-Message-Testing_Attachment-3_Email-Introduction-Community-Members ATSDR-Message-Testing_Attachment-3_Email-Introduction-Community-Members_clean.docx 02/25/2014
ATSDR-Message-Testing_Attachment-4_Email-Introduction-Public-Health-Professionals ATSDR-Message-Testing_Attachment-4_Email-Introduction-Public-Health-Professionals.docx 02/25/2014
ATSDR Message Testing_Attachment -9_BurdenHours ATSDR Message Testing_Attachment -9_BurdenHours.docx 02/25/2014
ATSDR-Message-Testing_List-of-Attachments ATSDR-Message-Testing_List-of-Attachments.docx 02/25/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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